Active NPI
John Michael Howard, OD
- Optometrist
- Southport, NC
National Provider Identifier
1346289014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1796
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Practice addresses (Care Compare)
4633 Long Beach Rd SE
Southport, NC 28461-8798
Phone (910) 457-6667
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 133 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1796 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vision Source of Brunswick, OD, PA | Optometrist | Current | Accepting new patients |
| Coastal Vision Center | Optometrist | Past | Accepting new patients |
| Fanelli Eye Associates,OD, PA. | Optometrist | Past | 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
- 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.
-
- Optometrist
- Wilmington, NC
- NPI 1851443840
-
- Optometrist
- Whiteville, NC
- NPI 1194877373
-
- Optometrist
- Wilmington, NC
- NPI 1184759102
-
- Optometrist
- Surf City, NC
- NPI 1497964787
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.