Harris, Mark William
Harris, Mark William is an sole proprietor health care provider with primary practice located at 1875 S Willow St Merrimack Vision Care, Manchester NH 03103-2363. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Harris, Mark William can be contacted via phone (603) 644-6100.Contact Information
Primary practice address
1875 S Willow St Merrimack Vision Care
Manchester NH 03103-2363
Phone: (603) 644-6100
Fax: (603) 314-0404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | NH616 | New Hampshire |
Profile Details
| NPI number | 1962500280 |
|---|---|
| LBN Legal business name | Harris, Mark William |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1962500280 | NPPES |
| New Hampshire | MEDICAID | 30350210 |
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