TRACY A HARADON (NPI# 1023011228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023011228 |
Entity Type | Individual |
Full Name | TRACY A HARADON |
Credential | O. D. |
Practice Address |
453 Sumner Ave Springfield MA 01108-2320 |
Practice Telephone | 4137335155 |
Practice Fax Number | 4137335119 |
Mailing Telephone | 4137335155 |
Mailing Fax Number | 4137335119 |
Enumeration Date | 2005-05-23 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 152W00000X | Optometrist | 3810 | MA | Eye and Vision Services Providers |
X | 152WC0802X |
Optometrist Specialization: Corneal and Contact Management |
3810 | MA | Eye and Vision Services Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MA | BOSTON MEDICAL CENTER HEA | 000000027519 | 01 |
MA | UNITED HEALTHCARE | 2301488 | 01 |
MA | TUFTS HEALTH PLANS | 410106 | 01 |
MD | CIGNA | 2748922 | 01 |
MA | NEIGHBORHOOD HEALTH PLAN | 0030314 | 01 |
MA | EVERCARE SENIOR OPTIONS | 22-00401 | 01 |
MA | CHILDRENS MEDICAL SECURIT | 50449 | 01 |
MA | AETNA | 5310173 | 01 |
MA | HARVARD PILGRIM | AA11181 | 01 |
MA | 0392251 | 05 | |
MA | FIRST HEALTH | 2215920 | 01 |
MA | HEALTH NEW ENGLAND | 19101 | 01 |
MA | BLUE CROSS BLUE SHIELD | W15973 | 01 |
MA | NETWORK HEALTH | 970751 | 01 |
Street Address |
453 SUMNER AVE |
City | SPRINGFIELD |
State | MA |
Zip Code | 01108-2320 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659383644 | Forest Park Eye Care PC | Optometrist | 453 Sumner Ave, Springfield, MA 01108-2320 | 2006-08-12 |
1821091034 | Britt E Adornato | Optometrist | 453 Sumner Ave, Springfield, MA 01108-2320 | 2005-05-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700256419 | Samantha Shirley | Specialist/Technologist | 6 Sumner Avenue, Apt 11, Springfield, MA 01108 | 2015-10-07 |
1073868543 | Caroline Alicia Bixby | Counselor | 95 Granby St, Springfield, MA 01108 | 2012-07-19 |
1659521508 | Heidi Walter | Counselor | 40 Eleanor Rd, Springfield, MA 01108 | 2008-09-29 |
1316154289 | Tamador S Gibreel | Counselor | 15 Lenox Street, Springfield, MA 01108 | 2007-05-17 |
1831219203 | Patricia Ann Langlitz | Massage Therapist | 80 Sumner Avenue, Springfield, MA 01108 | 2007-03-30 |
1548397920 | Bennett N Gaev | Psychiatry & Neurology | 167 Dwight Rd # 104, Longmeadow, MA 01108 | 2007-02-27 |
1841332145 | Emanuel Bonifale Brown | Counselor | 227 Mill Street, Springfield, MA 01108 | 2007-02-13 |
1639231863 | Robert Francis Vanvalkenburg | Dentist | 529 White St, Springfield, MA 01108 | 2006-12-14 |
1336214238 | Jeffrey Lee Lite | Dentist | 390 Sumner Ave, Springfield, MA 01108 | 2006-11-24 |
1043310477 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 615 621belmont Ave, Springfield, MA 01108 | 2006-09-25 |
Find all providers in zip 01108 |
Taxonomy Code | 152W00000X |
Grouping | Eye and Vision Services Providers |
Classification | Optometrist |
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
1376180109 | Drs. Akre & Clark, Ltd. | Optometrist | 623 W Rock St, Springfield, MN 56087-1028 | 2019-11-27 |
1407410087 | Missouri Physicians Eyecare Group, P.C. | Optometrist | 1415 E Battlefield St, Springfield, MO 65804-3701 | 2019-04-29 |
1467931006 | Vision Care Focus, LLC | Optometrist | 1507 Mohawk Blvd, Springfield, OR 97477-3355 | 2018-08-13 |
1306337126 | Casey Marie Smith | Optometrist | 1024 N Plum St, Springfield, OH 45504-2108 | 2018-05-29 |
1598254666 | Casey Carr | Optometrist | 1229 E Seminole St Ste 110, Springfield, MO 65804 | 2018-05-04 |
1790299311 | Springfield Eye Specialists LLC | Optometrist | 3231 S National Ave Ste 165, Springfield, MO 65807-7304 | 2017-11-17 |
1093253247 | Minh-tam Nguyen | Optometrist | 8424 Old Keene Mill Rd, Springfield, VA 22152-2302 | 2017-02-08 |
1013453877 | Grace Chang, Od PC | Optometrist | 6575n Frontier Dr, Springfield, VA 22150-1415 | 2017-01-17 |
1669821914 | Laura Kay | Optometrist | 1342 E Primrose St Ste B, Springfield, MO 65804-4224 | 2016-06-08 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 01108 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.