Individual provider Active NPI

Beth Ann Cudworth, O.D.

  • Optometrist
  • Howell, MI
National Provider Identifier
1346345006
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003285 Issued in MI
Practice address
3850 E Grand River Ave
Howell, MI 48843-8593
Phone
(517) 548-9607
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003285 MI Primary

Addresses

Primary practice location

3850 E Grand River Ave
Howell, MI 48843-8593

Mailing address

2276 Webster Park Dr
Howell, MI 48843-7457
Phone (517) 545-3138

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20081121000752 MI Practitioner - Optometry 4981764883 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4901003285MIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Howell Vision Center, Inc. Optometrist CurrentSince Oct 6, 2008 Accepting new patients
Howell Vision Center, Inc. Optometrist Past Accepting new patients

Locations

3850 E Grand River Ave
Howell, MI 48843
Phone (517) 548-9511

Organizations & group practices 2

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1346345006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2276 WEBSTER PARK DR",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488437457",
            "telephone_number": "517-545-3138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3850 E GRAND RIVER AVE",
            "city": "HOWELL",
            "state": "MI",
            "postal_code": "488438593",
            "telephone_number": "517-548-9607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUDWORTH",
        "first_name": "BETH",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, MI

Sources for this page

Verify at the official NPI Registry.