Howard Bacon, O.D.

Primary specialty

Vision Therapy OptometristTaxonomy code 152WV0400X

License

553 Issued in AZ

Practice address

2950 N Dobson Rd Ste 11
Chandler, AZ 85224-1824

Phone

(480) 963-8833

Fax

(480) 963-3766

NPI assigned

Feb 22, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Family Optometry, P.C.

  • Vision Therapy Optometrist
  • Chandler, AZ
  • NPI 1134354145
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396870366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 N DOBSON RD STE 11",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241824",
            "telephone_number": "480-963-8833",
            "fax_number": "480-963-3766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 N DOBSON RD STE 11",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241824",
            "telephone_number": "480-963-8833",
            "fax_number": "480-963-3766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACON",
        "first_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "AZ",
            "license": "553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Back & Bodyworks Chiropractic
• Back in Motion Family Chiropractic
• Back on Track Chiropractic
• Jennifer M Back
• Backfit Chiropractic & Rehabilitation PC
• Manpreet Singh Badyal, DDS
• Yooji Bae, MA, BCBA, LBA
• Jeff Baggenstoss, LPC
• Bentley Bagley
• Kathleen E Bagwell, CSFA

• Vision Therapy Optometrist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Vision Therapy Optometrist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.