Provider Demographics
NPI:1376692541
Name:H. KING HARTMAN M.D., LTD.
Entity Type:Organization
Organization Name:H. KING HARTMAN M.D., LTD.
Other - Org Name:HARTMAN EYE GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:COBY
Authorized Official - Middle Name:
Authorized Official - Last Name:HARTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:724-836-0190
Mailing Address - Street 1:1040 TOWNE SQUARE DR
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-5787
Mailing Address - Country:US
Mailing Address - Phone:724-836-0190
Mailing Address - Fax:724-837-4350
Practice Address - Street 1:1040 TOWNE SQUARE DR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-5787
Practice Address - Country:US
Practice Address - Phone:724-836-0190
Practice Address - Fax:724-837-4350
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Multi-Specialty
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1360449OtherBLUESHIELD GROUP NUMBER
PA021163Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER
PA1360449OtherBLUESHIELD GROUP NUMBER