Individual
DR. RICKEY L HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1340 N MAIN ST, FUQUAY VARINA, NC 27526-2617
(919) 552-3181
(919) 552-0197
Mailing address
1340 N MAIN ST, FUQUAY VARINA, NC 27526-2617
(919) 552-3181
(919) 552-0197
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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