DOROTHY HARRIS (NPI# 1972660595) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972660595 |
Entity Type | Organization |
Organization Name | DOROTHY HARRIS |
Other Organization Name | PINE BLUFF OPTICAL COMPANY |
Practice Address |
3073 W 28th Ave Pine Bluff AR 71603-4802 |
Practice Telephone | 8705348184 |
Practice Fax Number | 8705348184 |
Mailing Telephone | 8705348184 |
Mailing Fax Number | 8705348184 |
Enumeration Date | 2007-01-02 |
Last Update Date | 2008-07-24 |
Authorized Official Name | FAYE WEST (MANAGER) |
Authorized Official Telephone | 8705348184 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | L8837 | AR | Suppliers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
AR | BLUE CROSS BLUE SHIELD | 48776 | 01 |
Other Name | Type Code |
---|---|
Pine Bluff Optical Company | Doing Business As Name - Organization |
Street Address |
3073 W 28TH AVE |
City | PINE BLUFF |
State | AR |
Zip Code | 71603-4802 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700445038 | Hannah Carter | Dentist | 3801 S Olive St, Pine Bluff, AR 71603 | 2019-06-11 |
1821544628 | Nauman Yunus Md Pa | Internal Medicine | 1600 West 40th Ave, Jefferson Regional Medical Center, Pine Bluff, AR 71603 | 2016-08-31 |
1407278120 | Arkansas Cancer Clinic Pa | Radiology | 7200 South Hazel Street, Pine Bluff, AR 71603 | 2014-01-15 |
1730515396 | Sharon Yvette Webb | Student in an Organized Health Care Education/Training Program | 2318 Kyle Street, Pine Bluff, AR 71603 | 2013-09-16 |
1477992733 | David Larry Byrd | Pharmacist | 5 Longmeadow, Pine Bluff, AR 71603 | 2013-06-20 |
1437400371 | Thomas Jordan Harper | Pharmacist | 2809 South Camden Road, Pine Bluff, AR 71603 | 2012-10-01 |
1992080469 | C&d Disability.inc | Early Intervention Provider Agency | 4806 W 9th Street, Pine Bluff, AR 71603 | 2011-10-17 |
1457645863 | Clifton G Roaf & Marvin Q Caudle | Dentist | 1310 South Linden Street, Pine Bluff, AR 71603 | 2011-06-02 |
1932402682 | Mary Campbell | Licensed Practical Nurse | 2302 W. 28th, Suite A, Pine Bluff, AR 71603 | 2010-12-17 |
1245468925 | Evan N Newbolt | Ophthalmology | 3805 West 28th Ave, Pine Bluff, AR 71603 | 2009-07-01 |
Find all providers in zip 71603 |
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 |
---|---|---|---|---|
1225653140 | Mcfarland Optical, Inc. | Eyewear Supplier (Equipment, not the service) | 3805 W 28th Ave, Pine Bluff, AR 71603-4774 | 2020-06-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093225633 | Success Vision Express of Conway | Eyewear Supplier (Equipment, not the service) | 1100 S Amity Rd Ste B, Conway, AR 72032-8106 | 2017-10-10 |
1356886360 | Success Vision Express of Hot Springs, LLC | Eyewear Supplier (Equipment, not the service) | 4043 Central Ave, Ste A, Hot Springs, AR 71913-7208 | 2016-12-29 |
1427316488 | Sunland Optical Co., Inc. | Eyewear Supplier (Equipment, not the service) | 6 Th St Bldg 787, Little Rock Afb, AR 72099-0001 | 2012-04-27 |
1437471588 | Deer Optical | Eyewear Supplier (Equipment, not the service) | 4942 W Markham St, Little Rock, AR 72205-3732 | 2010-02-17 |
1548591118 | Camp Eye Care Clinic, Inc. | Eyewear Supplier (Equipment, not the service) | 2601 E Race Ave, Suite 3, Searcy, AR 72143-4774 | 2010-01-21 |
1912149725 | Calvin F Graham, Inc | Eyewear Supplier (Equipment, not the service) | 1001 Lexington Ave, Fort Smith, AR 72901-4945 | 2009-03-26 |
1336300730 | Schroeder Optical | Eyewear Supplier (Equipment, not the service) | 9600 Lile Dr Ste 260, Little Rock, AR 72205-6373 | 2008-06-19 |
1992970917 | Ronald F Boyles Od Pa | Eyewear Supplier (Equipment, not the service) | 2520 Crestwood Road, North Little Rock, AR 72116 | 2008-04-30 |
1144415761 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 2600 S Shackleford Road, Jc Penney Optical, Little Rock, AR 72205 | 2007-09-06 |
1093905721 | Pharmedic, Inc | Eyewear Supplier (Equipment, not the service) | 4425 Central Ave, Suite A, Hot Springs, AR 71913 | 2007-07-30 |
Find all providers with the same taxonomy |
City | PINE BLUFF |
Zip Code | 71603 |
Please comment or provide details below to improve the information on DOROTHY HARRIS.
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.