Samantha Joann Harris, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

108402 Issued in IA

Practice address

801 Buck St
Tiffin, IA 52340-9446

Phone

(319) 545-2252

NPI assigned

May 26, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Southern College of Optometry, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Washington Eye Care CenterGroup PAC ID 1254510308, 4 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sharris@axisvisioncare.direct.eyemdemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Washington Eye Care Center

  • Optometrist
  • Washington, IA
  • NPI 1447553474

  IA, Optometrist

  Medicare reassignment Care Compare group NPD
• Washington Eye Care Center

  • Optometrist
  • Fairfield, IA
  • NPI 1053914705
  NPD

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1083289581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 BUCK ST",
            "city": "TIFFIN",
            "state": "IA",
            "postal_code": "523409446",
            "telephone_number": "319-545-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BUCK ST",
            "city": "TIFFIN",
            "state": "IA",
            "postal_code": "523409446",
            "telephone_number": "319-545-2252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "SAMANTHA",
        "middle_name": "JOANN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "108402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodeen Francis, ADULT ARNP
• Daniel Phillip Goldsmith, DDS
• Keilyn Michelle Hahn
• Kelsey Kay Hall
• Ryan Hall
• Hart Family Dentistry PC
• Kevin Michael Hart, D.D.S.
• Heather Hutchcroft
• Infinite Horizons LLC
• Iowa Dental Health Professionals, P.C.

• Optometrist in Tiffin, IA
• Providers in Tiffin, IA by specialty
• Optometrist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.

Verify at the official NPI Registry.