Jack D. Halpren, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

02456 Issued in MA

Practice address

304 Main St
Wareham, MA 02571-2116

Phone

(508) 295-0752

Fax

(508) 295-0991

NPI assigned

Apr 4, 2006

Last updated

May 30, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338336000000",
    "number": "1275595373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 MAIN ST",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712116",
            "telephone_number": "508-295-0752",
            "fax_number": "508-295-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN ST",
            "city": "WAREHAM",
            "state": "MA",
            "postal_code": "025712116",
            "telephone_number": "508-295-0752",
            "fax_number": "508-295-0991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALPREN",
        "first_name": "JACK",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-04",
        "last_updated": "2012-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MA",
            "license": "02456",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0334367",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas V Geagan, MD
• Kaitlyn Marie Gibson, MS, RN, CPNP-PC
• Olivia Giles
• Greater New Bedford Community Health Center, Inc. (Greater New Bedford Community Health Center - Wareham)
• Liv Helena Haines Gauthier, MS OT/L
• Valerie Marie Haney, FNP
• Melissa Harrington
• Deborah Ann Harris, RPH
• Stephen A Heacox, MD
• Health Imperatives Inc. (Wareham Family Planning)

• Optometrist in Wareham, MA
• Providers in Wareham, MA by specialty
• Optometrist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2012; 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.