DR. DAVID ANDREW HARTZOG (OD) – Optometrist, NPI 1417730987

DR. DAVID ANDREW HARTZOG (OD) is a healthcare provider. based in Andalusia, Alabama. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. S-F28-TA-D11 (AL). The NPI Number for DR. DAVID ANDREW HARTZOG (OD) is 1417730987

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
DR. DAVID ANDREW HARTZOG (OD)
NPI
1417730987
Phone
(334) 343-2473
Address
31878 ANTIOCH RD
Enumeration Date
17 August 2023
Last Update Date
17 August 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3342228561
Graduation Year
2023 (3 years ago)
PAC ID
8729521596
Group Practice PAC ID
0547451221
Professional Enrollment ID
I20240620004071
Address ID
AL364204747AN847XXBYPA302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

Provider Addresses for DR. DAVID ANDREW HARTZOG (OD)

  • 31878 ANTIOCH RD

    ANDALUSIA, AL 364215912

    Phone: (334) 343-2473

    Type: Mailing

  • 847 WESTERN BYPASS

    SUITE D

    ANDALUSIA, AL 36420

    Phone: (334) 222-8561

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $161.

Total Amount is formed as General ($161) + Research ($0) + Ownership ($0) = $161.

Last reported payment date: 2024-11-26 • Largest payer in this snapshot: Bausch & Lomb Americas Inc. ($108).

Total Amount

$161

General + Research + Ownership

Payments

9

Total payment records

General Amount

$161

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-26

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-06-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240620004071IOptometryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36421)

Loading plans...

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0547451221View full group profile
NameSpecialtyState
-AL
O P T O M E T R YAL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is DR. DAVID ANDREW HARTZOG (OD)'s NPI number?
DR. DAVID ANDREW HARTZOG (OD)'s NPI is 1417730987 — the number used across U.S. healthcare to identify this provider.
Is there an active status for DR. DAVID ANDREW HARTZOG (OD)?
For scheduling context, DR. DAVID ANDREW HARTZOG (OD) is shown as active in the registry.
What kind of doctor is DR. DAVID ANDREW HARTZOG (OD)?
DR. DAVID ANDREW HARTZOG (OD) is associated with Optometrist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. DAVID ANDREW HARTZOG (OD)?
Travel planning: use Andalusia, Alabama as the reference point for DR. DAVID ANDREW HARTZOG (OD), then confirm.
Does DR. DAVID ANDREW HARTZOG (OD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

Similar Providers

Ntra. Sra. de los Clarines - Pza. Monseñor Bocanegra, Calle Nuestra Señora de los Clarines, Parque Victoria Eugenia, Bailén-Miraflores, Málaga, Málaga-Costa del Sol, Malaga, Andalusia, 29080, Spain
NPI: 1043312499
Andalusia Post Office, 520, East Three Notch Street, Andalusia, Covington County, Alabama, 36420, United States
NPI: 1164598215
Andalusia Post Office, 520, East Three Notch Street, Andalusia, Covington County, Alabama, 36420, United States
NPI: 1629133111
PO BOX 638
NPI: 1710028618
847 W BYPASS STE D
NPI: 1083929020

ENSIGHT EYECARE

Optometrist
P O DRAWER 1458
NPI: 1306152624
PO BOX 1517
NPI: 1619683737