Organization Name: | MICHAEL L. HARRIS MD, LTD |
NPI Number: | 1649476169 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MICHAEL LINDON HARRIS (OWNER) |
Mailing Address: | 4501 Maccorkle Ave Sw Suite 500 South Charleston |
State: | WV US |
Postal Code: | 253091444 |
Phone Number: | 3047666266 |
Fax Number: | 3047667825 |
NPI Enumeration Date: | 06/22/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332H00000X |
License Number: | 17469 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Eyewear Supplier (Equipment, not the service) |
Taxonomy Specialization: | |
Taxonomy Definition: | An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |