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DOROTHY HARRIS NPI 1972660595


NPI Information

NPI: 1972660595
Provider Name: DOROTHY HARRIS

Doing Business As: PINE BLUFF OPTICAL COMPANY

Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
3073 W 28TH AVE
PINE BLUFF, AR
ZIP 71603
Phone: (870) 534-8184
Get Directions

DOROTHY HARRIS is an eyewear supplier in Pine Bluff, AR. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. DOROTHY HARRIS NPI is 1972660595. The provider is registered as an organization entity type.
The provider Is Doing Business As Pine Bluff Optical Company.

The provider's business location address is:

3073 W 28TH AVE
PINE BLUFF, AR
ZIP 71603-802
Phone: (870) 534-8184
Fax: (870) 534-8184

The provider's authorized official is Faye West .
The authorized official title is Manager and has the following contact phone number (870) 534-8184.

The enumeration date for this NPI number is 1/2/2007 and was last updated on 7/24/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1332H00000XEyewear SupplierL8837ARKANSASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14771310001MEDICARE ID-TYPE UNSPECIFIEDARKANSAS
248776OTHERARKANSASBLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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