Individual
DR. RICKEY L HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0957
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09359
BCBS GARNER
NC
01
—
09405
BCBS FUQUAY
NC
01
—
2701064
AETNA
NC
01
—
410034730
RR MEDICARE
NC
01
—
4493993
AETNA
NC
01
—
580000125
RR MEDICARE
NC
05
—
8909359
—
NC
05
—
8909405
—
NC
01
—
C10278
RR MEDICARE
NC
01
—
DE1984
RR MEDICARE
NC
Enumeration date
05/11/2006
Last updated
05/31/2013
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