Individual provider Active NPI

John Victor Hardaway, M.D.

  • Ophthalmology Physician
  • Bremerton, WA
National Provider Identifier
1518930858
Registry record updated Feb 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
MD61006266 Issued in WA
Practice address
2655 Wheaton Way
Bremerton, WA 98310-3318
Phone
(360) 377-3703
NPI assigned
Feb 8, 2006
Last updated
Feb 16, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 0101052897 VA
Ophthalmology Physician 207W00000X MD61006266 WA Primary

Addresses

Primary practice location

2655 Wheaton Way
Bremerton, WA 98310-3318

Mailing address

2655 Wheaton Way
Bremerton, WA 98310-3318
Phone (360) 377-3703

Other practice location 1

1740 Pottery Ave Ste 100
Port Orchard, WA 98366-2504
Phone (360) 895-0847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110117000198 WA Practitioner - Ophthalmology 6507055977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Uniformed Services Uhs Fe Hebert School of Med, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kitsap Eye Physicians PSGroup PAC ID 2062309354, 6 clinicians

Practice addresses (Care Compare)

2655 Wheaton Way
Bremerton, WA 98310-3318
Phone (360) 377-3703

Merit-based Incentive Payment System (MIPS)

Final score
92.21 of 100Reported as group
Quality
96.05
Improvement activities
40
Cost
79.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery84

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD61006266WAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kitsap Eye Physicians PS Ophthalmology CurrentSince Apr 2, 2021 Accepting new patients
Kitsap Eye Physicians PS Ophthalmology CurrentSince Apr 2, 2021 Accepting new patients

Locations

2655 Wheaton Way
Bremerton, WA 98310
Phone (360) 377-3703

1740 Pottery Ave
Ste 100
Port Orchard, WA 98366
Phone (360) 895-0847

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, 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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644969600000",
    "number": "1518930858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2655 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103318",
            "telephone_number": "360-377-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2655 WHEATON WAY",
            "city": "BREMERTON",
            "state": "WA",
            "postal_code": "983103318",
            "telephone_number": "360-377-3703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1740 Pottery Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Port Orchard",
            "state": "WA",
            "postal_code": "983662504",
            "country_code": "US",
            "telephone_number": "360-895-0847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDAWAY",
        "first_name": "JOHN",
        "middle_name": "VICTOR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2022-02-16",
        "certification_date": "2022-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "VA",
            "license": "0101052897",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD61006266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bremerton, WA

Sources for this page

Verify at the official NPI Registry.