Individual provider Active NPI

John Michael Howard, OD

  • Optometrist
  • Southport, NC
National Provider Identifier
1346289014
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1796 Issued in NC
Practice address
4633 Long Beach Rd SE
Southport, NC 28461-8798
Phone
(910) 457-6667
Fax
(910) 457-9530
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1796 NC Primary

Addresses

Primary practice location

4633 Long Beach Rd SE
Southport, NC 28461-8798

Mailing address

103 NW 29TH St
Oak Island, NC 28465-7524
Phone (910) 457-6667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100325001032 NC Practitioner - Optometry 3678518941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vision Source of Brunswick OD PAGroup PAC ID 3870835762, 2 clinicians

Practice addresses (Care Compare)

4633 Long Beach Rd SE
Southport, NC 28461-8798
Phone (910) 457-6667

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1796NCMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vision Source of Brunswick, OD, PA Optometrist CurrentSince Feb 17, 2019 Accepting new patients
Coastal Vision Center Optometrist Past Accepting new patients
Fanelli Eye Associates,OD, PA. Optometrist PastSince Feb 22, 2016 Accepting new patients
Coastal Vision Center OD PA Optometrist Past Accepting new patients
Primary Vision Care Center, O.D., P.a. Optometrist Past Accepting new patients

Locations

4633 Long Beach Rd SE
Southport, NC 28461
Phone (910) 457-6667

Interoperability endpoints

  • Direct secure messaging: mhoward@howardeye.eyefinitydirect.com

Organizations & group practices 5

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1346289014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 NW 29TH ST",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284657524",
            "telephone_number": "910-457-6667",
            "fax_number": "910-457-9530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4633 LONG BEACH RD SE",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618798",
            "telephone_number": "910-457-6667",
            "fax_number": "910-457-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southport, NC

Sources for this page

Verify at the official NPI Registry.