Organization Active NPI

Howard Eye Associates, OD PA

  • Optometrist
  • Southport, NC
National Provider Identifier
1396845665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1796 Issued in NC
Legal business name
HOWARD EYE ASSOCIATES, OD PA
Practice address
4961 Long Beach Rd SE Ste 8
Southport, NC 28461-8001
Phone
(910) 457-6667
Fax
(910) 457-9530
NPI assigned
Sep 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John M Howard, ODNPI 1346289014
Title
President
Phone
(910) 457-6667

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1796 NC Primary

Addresses

Primary practice location

4961 Long Beach Rd SE Ste 8
Southport, NC 28461-8001

Mailing address

4961 Long Beach Rd SE Ste 8
Southport, NC 28461-8001
Phone (910) 457-6667

Other identifiers 2

IdentifierTypeStateIssuer
014U1OtherNCBLUE CROSS GROUP NUMBER
89014U1MedicaidNC

National Provider Directory

National Provider Directory

Locations

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

4961 Long Beach Rd SE
Ste 12
Southport, NC 28461
Phone (910) 457-6667

4961 Long Beach Rd SE
Ste 8
Southport, NC 28461
Phone (910) 457-6667

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396845665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4961 LONG BEACH RD SE STE 8",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618001",
            "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": "4961 LONG BEACH RD SE STE 8",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284618001",
            "telephone_number": "910-457-6667",
            "fax_number": "910-457-9530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOWARD EYE ASSOCIATES, OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "910-457-6667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "014U1",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89014U1",
            "state": "NC"
        }
    ],
    "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 Aug 22, 2020; 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.