1811821853 NPI number — MARGARET JOSEPHIINE HATHAWAY OD

Table of content: MARGARET JOSEPHIINE HATHAWAY OD (NPI 1811821853)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1811821853 NPI number — MARGARET JOSEPHIINE HATHAWAY OD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HATHAWAY
Provider First Name:
MARGARET
Provider Middle Name:
JOSEPHIINE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
OD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
DEBOY
Provider Other First Name:
MARGARET
Provider Other Middle Name:
JOSEPHINE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
OD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1811821853
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/22/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2070 S STATE ROAD 39
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRANKFORT
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46041-7655
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
765-659-2020
Provider Business Mailing Address Fax Number:
765-654-4668

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2070 S STATE ROAD 39
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FRANKFORT
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46041-7655
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
765-659-2020
Provider Business Practice Location Address Fax Number:
765-654-4668
Provider Enumeration Date:
06/12/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 152W00000X , with the licence number:  18004661A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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