Individual provider Active NPI

Alicia Havens, O.D.

  • Optometrist
  • New Port Richey, FL
National Provider Identifier
1437566155
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC5144 Issued in FL
Practice address
5305 Grand Blvd
New Port Richey, FL 34652-4014
Phone
(727) 847-0889
NPI assigned
Jul 15, 2014
Last updated
Mar 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC5144 FL Primary

Addresses

Primary practice location

5305 Grand Blvd
New Port Richey, FL 34652-4014

Mailing address

5305 Grand Blvd
New Port Richey, FL 34652-4014

Other practice location 1

5505 Peachtree Dunwoody
Suite 300
Atlanta, GA 30342-1705
Phone (404) 257-0814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151002001203 FL Practitioner - Optometry 8527376029 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rowan Eye Center IncGroup PAC ID 6901895010, 3 clinicians

Practice addresses (Care Compare)

5305 Grand Blvd
New Port Richey, FL 34652-4014
Phone (727) 847-0889

Merit-based Incentive Payment System (MIPS)

Final score
91.87 of 100Reported as group
Quality
97.6
Improvement activities
40
Cost
76.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rowan Eye Center, Inc. CurrentSince Sep 3, 2015 Accepting new patients

Locations

5305 Grand Blvd
New Prt Rchy, FL 34652
Phone (727) 847-0889

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: ahavens@rowaneyecenter.intellechartdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1437566155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 GRAND BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 GRAND BLVD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346524014",
            "telephone_number": "727-847-0889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5505 Peachtree Dunwoody",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303421705",
            "country_code": "US",
            "telephone_number": "404-257-0814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.