Brian Howard, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

12306575-9934 Issued in UT

Practice address

2569 S 5600 W Ste A550
West Valley, UT 84120-1363

Phone

(801) 297-1773

NPI assigned

Jun 4, 2021

Last updated

Jun 4, 2021By the provider in NPPES

Sex

Male

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 ME

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

Other, 2021

Medicare assignment

May accept Medicare assignment

Group practices

Optometric Associates of Southern Maine PLLCGroup PAC ID 4486053782, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Optometric Associates of Southern Maine PLLC

  • Optometrist
  • Biddeford, ME
  • NPI 1891379749
  Medicare reassignment Care Compare group NPD
• National Vision, Inc.

  dba America's Best Contacts & Eyeglasses

  • Optician
  • West Valley, UT
  • NPI 1154726842
  NPD (past)

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1184291635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GOLF COURSE RD",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117132345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 S 5600 W STE A550",
            "city": "WEST VALLEY",
            "state": "UT",
            "postal_code": "841201363",
            "telephone_number": "801-297-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "BRIAN",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "UT",
            "license": "12306575-9934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Hernandez
• Kaitlin Hickman
• Ari Michael Hobfoll, DMD
• Arlene R Holland, APRN
• Corey Hotton, PTA
• Hunter Medical Center, Inc (Jordan Meadows Medical Center)
• Inception Holdings
• Java Home Care LLC
• Abbie Ogaard Jensen
• Nathan Robert Johnson

• Optometrist in West Valley, UT
• Providers in West Valley, UT by specialty
• Optometrist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.