Individual provider Active NPI

Stephen James Harney, O.D.

  • Optometrist
  • Lowell, MA
National Provider Identifier
1124029269
Registry record updated Sep 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2881 Issued in MA
Practice address
850 Chelmsford St
Lowell, MA 01851-5149
Phone
(978) 452-0127
Fax
(978) 452-1749
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2881 MA Primary
Optometrist 152W00000X 0421 NH

Addresses

Primary practice location

850 Chelmsford St
Lowell, MA 01851-5149

Mailing address

34 Jambard Rd
Hollis, NH 03049-6589

Other identifiers 13

IdentifierTypeStateIssuer
0006470OtherMANEIGHBORHOOD HEALTH PLAN
21772090797MedicaidNH
7977OtherNHANTHEM BC/BS
982567OtherMANETWORK HEALTH
32897OtherMAJOHNHANCOCK/CHILDERN
759071OtherMATUFTS TOTAL HEALTH PLAN
W16053OtherMABC/BS INDEMINITY PLAN
3201287OtherMAAETNA US HEALTHCARE
24052OtherMAFALLON HEALTH PLANS
444558OtherMAHMOBLUE
7745879OtherMACIGNA HEALTHCARE
151438OtherMAHARVARD PILGRIM HC
158296XXOtherMAPHCS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805001417 MA Practitioner - Optometry 4880665330 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aeg Massachusetts Professional PCGroup PAC ID 6901282557, 44 clinicians

Practice addresses (Care Compare)

850 Chelmsford St
Lowell, MA 01851-5149
Phone (978) 452-0127

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery28

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2881MAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Aeg Massachusetts Professional PC Optometrist CurrentSince Sep 26, 2024 Accepting new patients
Microsurgical Eye Consultants PastSince Jan 1, 2007 Accepting new patients
Leahey Eye Clinic Optometrist Past Accepting new patients
Microsurgical Eye Consultants Past Accepting new patients

Locations

15 Central St
Andover, MA 01810
Phone (978) 475-1230

850 Chelmsford St
Lowell, MA 01851
Phone (978) 452-0127

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348012800000",
    "number": "1124029269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 JAMBARD RD",
            "city": "HOLLIS",
            "state": "NH",
            "postal_code": "030496589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 CHELMSFORD ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018515149",
            "telephone_number": "978-452-0127",
            "fax_number": "978-452-1749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARNEY",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2012-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "2881",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NH",
            "license": "0421",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0006470",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "21772090797",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "7977",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NETWORK HEALTH",
            "identifier": "982567",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHNHANCOCK/CHILDERN",
            "identifier": "32897",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS TOTAL HEALTH PLAN",
            "identifier": "759071",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS INDEMINITY PLAN",
            "identifier": "W16053",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "3201287",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FALLON HEALTH PLANS",
            "identifier": "24052",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMOBLUE",
            "identifier": "444558",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "7745879",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM HC",
            "identifier": "151438",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "158296XX",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.