Harris, Andrew Jason
Harris, Andrew Jason is an individual health care provider with primary practice located at 499 Greenville Blvd Se , Greenville NC 27858-6734. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Harris, Andrew Jason can be contacted via phone (252) 756-9404.Contact Information
Primary practice address
499 Greenville Blvd Se
Greenville NC 27858-6734
Phone: (252) 756-9404
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 0618001599 | Virginia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2026 | North Carolina |
Profile Details
| NPI number | 1396830840 |
|---|---|
| LBN Legal business name | Harris, Andrew Jason |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Mar 17th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396830840 | NPPES |
| Virginia | MEDICAID | 010320445 | |
| Virginia | MEDICAID | 5905646 | |
| Virginia | Other | 239958 | |
| Virginia | Other | 093VG |
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