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TRACY A HARADON O. D. NPI 1023011228


NPI Information

NPI: 1023011228
Provider Name: TRACY A HARADON, O. D.
Classification: Optometrist - 152W00000X
Entity Type: Individual
Organization: FOREST PARK EYE CARE PC

PECOS Registration: Yes

Address:
453 SUMNER AVE
SPRINGFIELD, MA
ZIP 01108
Phone: (413) 733-5155
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Tracy A Haradon, O. D. is an optometrist in Springfield, MA with 31 years of experience. The provider is 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. Tracy A Haradon, O. D. NPI is 1023011228. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW ENGLAND COLLEGE OF OPTOMETRY
Graduation Year:1993

The provider's business location address is:

453 SUMNER AVE
SPRINGFIELD, MA
ZIP 01108-320
Phone: (413) 733-5155
Fax: (413) 733-5119

The NPI 1023011228 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

The enumeration date for this NPI number is 5/23/2005 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1152W00000XOptometrist3810MASSACHUSETTSYes
2152WC0802XOptometristCorneal and Contact Management3810MASSACHUSETTSX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1W15973OTHERMASSACHUSETTSBLUE CROSS BLUE SHIELD
250449OTHERMASSACHUSETTSCHILDRENS MEDICAL SECURIT
3970751OTHERMASSACHUSETTSNETWORK HEALTH
40392251MEDICAIDMASSACHUSETTS
519101OTHERMASSACHUSETTSHEALTH NEW ENGLAND
62215920OTHERMASSACHUSETTSFIRST HEALTH
70030314OTHERMASSACHUSETTSNEIGHBORHOOD HEALTH PLAN
85310173OTHERMASSACHUSETTSAETNA
9AA11181OTHERMASSACHUSETTSHARVARD PILGRIM
102748922OTHERMARYLANDCIGNA
11U54352MEDICARE UPINMASSACHUSETTS
12000000027519OTHERMASSACHUSETTSBOSTON MEDICAL CENTER HEA
1322-00401OTHERMASSACHUSETTSEVERCARE SENIOR OPTIONS
142301488OTHERMASSACHUSETTSUNITED HEALTHCARE
15410106OTHERMASSACHUSETTSTUFTS HEALTH PLANS
16W15973MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.