Individual provider Active NPI

Howard Henry McCutchan, O.D.

  • Optometrist
  • Harlan, IA
National Provider Identifier
1083686984
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1567 Issued in IA
Practice address
2306 12TH St
Harlan, IA 51537-2002
Phone
(712) 755-3893
Fax
(712) 755-7580
NPI assigned
Feb 3, 2006
Last updated
Apr 22, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1567 IA Primary

Addresses

Primary practice location

2306 12TH St
Harlan, IA 51537-2002

Mailing address

PO Box 715
Harlan, IA 51537-0715
Phone (712) 755-3893

Other identifiers 5

IdentifierTypeStateIssuer
410015661OtherIARAILROAD MEDICARE
0032920MedicaidIA
03292OtherIABLUE CROSS/ WELLMARK
42107817600OtherIANE MEDICAID
421078176OtherIACOMERCIAL INSURANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
01567IAMDRegistered Dietitian
1567IAMDOptometrist

Interoperability endpoints

  • Direct secure messaging: hmccutcheon129325@uihcdirect.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1083686984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 715",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515370715",
            "telephone_number": "712-755-3893",
            "fax_number": "712-755-7580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2306 12TH ST",
            "city": "HARLAN",
            "state": "IA",
            "postal_code": "515372002",
            "telephone_number": "712-755-3893",
            "fax_number": "712-755-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCUTCHAN",
        "first_name": "HOWARD",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-03",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "1567",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410015661",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0032920",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/ WELLMARK",
            "identifier": "03292",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NE MEDICAID",
            "identifier": "42107817600",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMERCIAL INSURANCE",
            "identifier": "421078176",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlan, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.