Individual provider Active NPI

Tina M Parker-Howayeck, O.D.

  • Optometrist
  • Fairhaven, MA
National Provider Identifier
1154471712
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4078 Issued in MA
Practice address
16 Fairhaven Commons Way
Fairhaven, MA 02719-4627
Phone
(508) 999-4401
Fax
(508) 992-3937
NPI assigned
Jan 12, 2007
Last updated
Jul 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4078 MA Primary

Addresses

Primary practice location

16 Fairhaven Commons Way
Fairhaven, MA 02719-4627

Mailing address

16 Fairhaven Commons Way
Fairhaven, MA 02719-4627
Phone (508) 999-4401

Other identifiers 4

IdentifierTypeStateIssuer
0334740MedicaidMA
152869OtherMAHARVARD PILGRIM
W17265OtherMABLUE CROSS BLUE SHIELDS
0027335OtherMANEIGHBORHOOD HEALTH PLAN

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
I20130418000275 MA Practitioner - Optometry 4981840915 Reassigns benefits to 2 organizations
Practice locations: Fairhaven, MA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John Magalhaes and Associates, IncGroup PAC ID 4284605262, 8 clinicians

Practice addresses (Care Compare)

382 State Rd
Dartmouth, MA 02747-4302
Phone (508) 717-0425

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Eye Associates, PC CurrentSince Mar 17, 2021 Accepting new patients
John Magalhaes and Associates, Inc. Optometrist CurrentSince Jun 1, 2021 Accepting new patients
Acuvision Eyecare Center, Inc Optometrist Past Accepting new patients
Luxottica of America Inc Past Accepting new patients
Acuvision Eyecare, Inc Optometrist Past Accepting new patients

Locations

1250 S Washington St
North Attleboro, MA 02760
Phone (508) 717-0425

382 State Rd
North Dartmouth, MA 02747
Phone (508) 717-0425

365 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 951-2397

Organizations & group practices 6

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": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373500800000",
    "number": "1154471712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 FAIRHAVEN COMMONS WAY",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194627",
            "telephone_number": "508-999-4401",
            "fax_number": "508-992-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 FAIRHAVEN COMMONS WAY",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027194627",
            "telephone_number": "508-999-4401",
            "fax_number": "508-992-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER-HOWAYECK",
        "first_name": "TINA",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-12",
        "last_updated": "2013-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "4078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0334740",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "152869",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELDS",
            "identifier": "W17265",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "0027335",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairhaven, MA

Sources for this page

Verify at the official NPI Registry.