Active NPI
Tracy A Haradon, O. D.
- Corneal and Contact Management Optometrist
- Springfield, MA
National Provider Identifier
1023011228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Corneal and Contact Management Optometrist
- License
- 3810
- Practice address
- 453 Sumner Ave
Springfield, MA 01108-2320 - Phone
- (413) 733-5155
- Fax
- (413) 733-5119
- NPI assigned
- May 23, 2005
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3810 | MA | |
| Corneal and Contact Management Optometrist | 152WC0802X | 3810 | MA | Primary |
Addresses
Primary practice location
453 Sumner Ave
Springfield, MA 01108-2320
Mailing address
453 Sumner Ave
Springfield, MA 01108-2320
Phone (413) 733-5155
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970751 | Other | MA | NETWORK HEALTH |
| 2748922 | Other | MD | CIGNA |
| 50449 | Other | MA | CHILDRENS MEDICAL SECURIT |
| 5310173 | Other | MA | AETNA |
| 000000027519 | Other | MA | BOSTON MEDICAL CENTER HEA |
| 2215920 | Other | MA | FIRST HEALTH |
| 22-00401 | Other | MA | EVERCARE SENIOR OPTIONS |
| 19101 | Other | MA | HEALTH NEW ENGLAND |
| 410106 | Other | MA | TUFTS HEALTH PLANS |
| AA11181 | Other | MA | HARVARD PILGRIM |
| 0030314 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| W15973 | Other | MA | BLUE CROSS BLUE SHIELD |
| 0392251 | Medicaid | MA | |
| 2301488 | Other | MA | UNITED HEALTHCARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- New England College of Optometry, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
453 Sumner Ave
Springfield, MA 01108-2320
Phone (413) 733-5155
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forest Park Eye Care PC | Optometrist | Current | Accepting new patients |
Locations
453 Sumner Ave
Springfield, MA 01108
Phone (413) 733-5155
Interoperability endpoints
- tharadon@forestparkeyecare.eyefinity-direct.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Springfield, MA
- NPI 1659383644
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1023011228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "453 SUMNER AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011082320",
"telephone_number": "413-733-5155",
"fax_number": "413-733-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "453 SUMNER AVE",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011082320",
"telephone_number": "413-733-5155",
"fax_number": "413-733-5119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARADON",
"first_name": "TRACY",
"middle_name": "A",
"credential": "O. D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MA",
"license": "3810",
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "MA",
"license": "3810",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "970751",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "2748922",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDRENS MEDICAL SECURIT",
"identifier": "50449",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5310173",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOSTON MEDICAL CENTER HEA",
"identifier": "000000027519",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "2215920",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE SENIOR OPTIONS",
"identifier": "22-00401",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "19101",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLANS",
"identifier": "410106",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "AA11181",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0030314",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "W15973",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0392251",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2301488",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.