Organization Active NPI

Harbor View Eye Care, LLC

  • Optometrist
  • South Portland, ME
National Provider Identifier
1073773487
Registry record updated Aug 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HARBOR VIEW EYE CARE, LLC
Practice address
743 Broadway
South Portland, ME 04106-4419
Phone
(207) 799-3031
Fax
(207) 799-9005
NPI assigned
Jun 10, 2008
Last updated
Aug 8, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph D Heward, O.D.
Title
Owner
Phone
(207) 799-3031

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X ME Primary

Addresses

Primary practice location

743 Broadway
South Portland, ME 04106-4419

Mailing address

743 Broadway
South Portland, ME 04106-4419
Phone (207) 799-3031

Other identifiers 2

IdentifierTypeStateIssuer
1760441042OtherMEKRISHNA KRITHIVAS NPI#
1851356588OtherMEDAVID HEWARD OD NPI #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080917000813 ME Part B Supplier - Clinic/Group Practice 5092882068 Receives reassigned benefits from 8 practitioners
Practice locations: South Portland, ME

National Provider Directory

National Provider Directory

Locations

743 Broadway
South Portland, ME 04106
Phone (207) 799-3031

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1073773487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 BROADWAY",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064419",
            "telephone_number": "207-799-3031",
            "fax_number": "207-799-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "743 BROADWAY",
            "city": "SOUTH PORTLAND",
            "state": "ME",
            "postal_code": "041064419",
            "telephone_number": "207-799-3031",
            "fax_number": "207-799-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR VIEW EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "HEWARD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-799-3031",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "ME",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KRISHNA KRITHIVAS  NPI#",
            "identifier": "1760441042",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVID HEWARD OD NPI #",
            "identifier": "1851356588",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Portland, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.