Individual provider Active NPI

John R Harrington, O.D.

  • Optometrist
  • Salem, OR
National Provider Identifier
1144355314
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2648ATI Issued in OR
Practice address
1309 Liberty St SE
Salem, OR 97302-4245
Phone
(503) 585-2022
Fax
(503) 378-0797
NPI assigned
Feb 21, 2007
Last updated
Dec 17, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 2648ATI OR Primary

Addresses

Primary practice location

1309 Liberty St SE
Salem, OR 97302-4245

Mailing address

1309 Liberty St SE
Salem, OR 97302-4245
Phone (503) 585-2022

Other identifiers 1

IdentifierTypeStateIssuer
165456MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20041108001244 OR Practitioner - Optometry 5092778332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Eye Care Physicians and Surgeons IncGroup PAC ID 6103812557, 11 clinicians

Practice addresses (Care Compare)

1309 Liberty St SE
Salem, OR 97302-4245
Phone (503) 585-2022

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.75 of 100Reported as group
Quality
89.59
Improvement activities
40
Cost
79.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2648ATIORMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Care Physicians & Surgeons, Inc. CurrentSince Dec 1, 2004 Accepting new patients
Eye Care Physicians & Surgeons, Inc. PastSince Dec 1, 2004 Accepting new patients

Locations

5750 Inland Shores Way N
Keizer, OR 97303
Phone (503) 585-2022

1309 Liberty St SE
Salem, OR 97302
Phone (503) 585-2022

2001 Commercial St SE
Salem, OR 97302
Phone (503) 363-1500

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: john.harrington.p1@direct.eyecarephysicians.nextgenshare.com

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1144355314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024245",
            "telephone_number": "503-585-2022",
            "fax_number": "503-378-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 LIBERTY ST SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973024245",
            "telephone_number": "503-585-2022",
            "fax_number": "503-378-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRINGTON",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OR",
            "license": "2648ATI",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165456",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.