MICHAEL L. HARRIS MD, LTD (NPI# 1649476169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649476169 |
| Entity Type | Organization |
| Organization Name | MICHAEL L. HARRIS MD, LTD |
| Practice Address |
4501 Maccorkle Ave Sw Suite 500 South Charleston WV 25309-1444 |
| Practice Telephone | 3047666266 |
| Practice Fax Number | 3047667825 |
| Mailing Telephone | 3047666266 |
| Mailing Fax Number | 3047667825 |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL LINDON HARRIS (OWNER) |
| Authorized Official Telephone | 3047666266 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 17469 | WV | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0095821001 | 05 |
| Street Address |
4501 MACCORKLE AVE SW SUITE 500 |
| City | SOUTH CHARLESTON |
| State | WV |
| Zip Code | 25309-1444 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386639243 | Larry Douglas Curnutte | Obstetrics & Gynecology | 4501 Maccorkle Ave Sw, Suite 200, South Charleston, WV 25309-1444 | 2005-09-16 |
| 1821453192 | Bee Well Pharmacy Inc. | Pharmacy | 4501 Maccorkle Ave Sw, South Charleston, WV 25309-1444 | 2015-12-30 |
| 1811161524 | Woman Care Clinic Inc | Obstetrics & Gynecology | 4501 Maccorkle Ave Sw, Suite 200, South Charleston, WV 25309-1444 | 2008-04-15 |
| 1215126990 | Comprecare Services, Inc | Durable Medical Equipment & Medical Supplies | 4501 Maccorkle Ave Sw, Suite 101, South Charleston, WV 25309-1444 | 2007-10-18 |
| 1952429813 | Mouwafak Ghannam | Specialist | 4501 Maccorkle Ave Sw, Suite 401, South Charleston, WV 25309-1444 | 2007-03-27 |
| 1174649347 | Metamorphosis Counseling, Inc | Counselor | 4501 Maccorkle Ave Sw, Suite 103, South Charleston, WV 25309-1444 | 2007-03-21 |
| 1790819373 | Prestige Primary Care Associates, Pllc | Internal Medicine | 4501 Maccorkle Ave Sw, Suite 301, South Charleston, WV 25309-1444 | 2007-03-15 |
| 1841373529 | Gary D Harris | Audiologist | 4501 Maccorkle Ave Sw, Suite 402, South Charleston, WV 25309-1444 | 2006-10-24 |
| 1730260399 | Michael L. Harris, M.d., Ltd. | Ophthalmology | 4501 Maccorkle Ave Sw, Suite 500, South Charleston, WV 25309-1444 | 2006-10-18 |
| 1841388550 | Randall Alan Clifford | Counselor | 4501 Maccorkle Ave Sw, Ste 103, South Charleston, WV 25309-1444 | 2006-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376905 | Lovie Bradshaw | Technician | 4823 Tennessee St., South Charleston, WV 25309 | 2020-11-03 |
| 1306447735 | Barbara Mackenzie | Technician | 4224 Kanawha Turnpike, South Charleston, WV 25309 | 2020-11-03 |
| 1548861974 | Sarah Nichols | Technician | 4990 Colonial Park Dr. Apt. F, South Charleston, WV 25309 | 2020-11-03 |
| 1629690177 | Jennifer Mabry-goins | Technician | 4505 River Avenue, S Charleston, WV 25309 | 2020-05-07 |
| 1811537715 | Brandon C Dean | Psychologist | 4857 Macorkle Ave. Sw, South Charleston, WV 25309 | 2020-01-09 |
| 1467096057 | Linda Mullins | Technician | 60 Hayvon Lane, South Charleston, WV 25309 | 2019-11-06 |
| 1831743616 | Ann Myriah Beck | Nurse Practitioner | 4610 Maccorkle Ave Sw # 300, South Charleston, WV 25309 | 2019-07-30 |
| 1942671227 | Edward W Eskew | Family Medicine | 4605 Maccorkle Avenue, Sw, Thspp-psychiatry, South Charleston, WV 25309 | 2015-10-13 |
| 1720468218 | Link Investments LLC | Pharmacy | 5151 Macorkle Avenue, South Charleston, WV 25309 | 2015-06-01 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| Find all providers in zip 25309 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578780359 | S & W Meeks Inc | Eyewear Supplier (Equipment, not the service) | 426 Division Street, South Charleston, WV 25314 | 2007-04-20 |
| 1821038613 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 2700 Mountaineer Blvd, South Charleston, WV 25309-9442 | 2006-06-08 |
| 1124234836 | To Healthy Eyes | Eyewear Supplier (Equipment, not the service) | 4008 Maccorkle Ave Sw, South Charleston, WV 25309-1510 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871072066 | Blink, Inc. | Eyewear Supplier (Equipment, not the service) | 3942 David Stuart Road, Suite 1, Ronceverte, WV 24970 | 2018-08-09 |
| 1366840951 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 304 Southbridge Blvd., S.ccharleston, WV 25309 | 2014-12-12 |
| 1295133361 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 536 Emily Dr, Clarksburg, WV 26301-5507 | 2014-12-05 |
| 1639573264 | Moore Vision Center, Pllc | Eyewear Supplier (Equipment, not the service) | 467 Main St Ste 401, Madison, WV 25130-2200 | 2014-10-10 |
| 1255755203 | Dove Eye | Eyewear Supplier (Equipment, not the service) | 120 Medical Park Dr Ste 103, Bridgeport, WV 26330-9013 | 2014-02-11 |
| 1770918443 | Field of Vision Optical Center | Eyewear Supplier (Equipment, not the service) | 10565 Veterans Memorial Hwy, Masontown, WV 26542-9577 | 2013-09-12 |
| 1871837757 | In Focus Optical | Eyewear Supplier (Equipment, not the service) | 1306 Kanawha Blvd East, Charleston, WV 25301-0301 | 2012-11-16 |
| 1679886154 | Cole Vision Corporation | Eyewear Supplier (Equipment, not the service) | 100 Crossroads Mall, Mt Hope, WV 25880-9668 | 2010-07-26 |
| 1063738151 | Eyemart Express | Eyewear Supplier (Equipment, not the service) | 2010 Thundering Herd Dr, Barboursville, WV 25504-2601 | 2010-04-14 |
| 1477885804 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | Mercer Mall Rte460, Mercer Mall Ste #740, Bluefield, WV 24701 | 2010-02-10 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH CHARLESTON |
| Zip Code | 25309 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.