Individual provider Active NPI

Jason Brian Howard, O.D.

  • Optometrist
  • Pikeville, KY
National Provider Identifier
1679625107
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1377DT Issued in KY
Practice address
140 Adams LN Ste 300
Pikeville, KY 41501-3088
Phone
(606) 432-5543
Fax
(606) 432-0147
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1377DT KY Primary

Addresses

Primary practice location

140 Adams LN Ste 300
Pikeville, KY 41501-3088

Mailing address

140 Adams LN Ste 300
Pikeville, KY 41501-3088
Phone (606) 432-5543

Other identifiers 1

IdentifierTypeStateIssuer
77001188MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20040727001278 KY Practitioner - Optometry 3375521792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

140 Adams LN
Suite 300
Pikeville, KY 41501-3088
Phone (606) 432-5543

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1377KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Family Eyecare LLC Optometrist CurrentSince Jul 1, 2015 Accepting new patients
Jason B. Howard, O.D. L.L.C. Optometrist PastSince Jul 1, 2004 Accepting new patients
20 20 Eye Care Inc Past Accepting new patients
20-20 Eyecare of Grenada PA Optometrist PastSince Jul 11, 2016 Accepting new patients
Mackey Vision Center PSC Optometrist Past Accepting new patients

Locations

140 Adams Ln
Ste 300
Pikeville, KY 41501
Phone (606) 230-2255

419 Town Mountain Rd
Ste 100
Pikeville, KY 41501
Phone (606) 432-5544

Organizations & group practices 5

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": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1679625107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ADAMS LN STE 300",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013088",
            "telephone_number": "606-432-5543",
            "fax_number": "606-432-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ADAMS LN STE 300",
            "city": "PIKEVILLE",
            "state": "KY",
            "postal_code": "415013088",
            "telephone_number": "606-432-5543",
            "fax_number": "606-432-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "JASON",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1377DT",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "77001188",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pikeville, KY

Sources for this page

Verify at the official NPI Registry.