Harris, Mike E

Harris, Mike E is an sole proprietor health care provider with primary practice located at 1328 E 12Th St , Casper WY 82601-3912. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Harris, Mike E can be contacted via phone (307) 237-8713.

Contact Information

Primary practice address
1328 E 12Th St Casper WY 82601-3912
Fax: (307) 237-5740
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 127T Wyoming

Profile Details

NPI number 1104819333
LBN Legal business name Harris, Mike E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 23rd, 2005
Last updated Jan 22nd, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104819333 NPPES
Wyoming MEDICAID 104113400

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