Active NPI
Jason L Howard, O.D.
- Optometrist
- Emmett, ID
National Provider Identifier
1720436744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP-100368
- Practice address
- 1108 S Washington Ave
Emmett, ID 83617-3535 - Phone
- (208) 365-2020
- NPI assigned
- May 31, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP-100368 | ID | Primary |
Addresses
Primary practice location
1108 S Washington Ave
Emmett, ID 83617-3535
Mailing address
4969 S Valois Dr
Taylorsville, UT 84129-1678
Phone (801) 915-2109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160815001085 | ID | Practitioner - Optometry | 7911291992 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP-100368 | ID | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emmett Eye Center, PLLC | Optometrist | Current | Accepting new patients |
| Dallas Stevens OD PA | Optometrist | Current | Accepting new patients |
Locations
1108 S Washington Ave
Emmett, ID 83617
Phone (208) 365-2020
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 and National Provider Directory roles.
-
- Optometrist
- Boise, ID
- NPI 1477053007
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1720436744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4969 S VALOIS DR",
"city": "TAYLORSVILLE",
"state": "UT",
"postal_code": "841291678",
"telephone_number": "801-915-2109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 S WASHINGTON AVE",
"city": "EMMETT",
"state": "ID",
"postal_code": "836173535",
"telephone_number": "208-365-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "JASON",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-05-31",
"last_updated": "2016-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP-100368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Emmett, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; 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.