Provider Demographics
NPI:1275676306
Name:HARRIS OPTICIANS, INC
Entity Type:Organization
Organization Name:HARRIS OPTICIANS, INC
Other - Org Name:EOYLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED OPTICIAN
Authorized Official - Phone:614-261-8155
Mailing Address - Street 1:3725 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-3524
Mailing Address - Country:US
Mailing Address - Phone:614-261-8155
Mailing Address - Fax:614-261-4505
Practice Address - Street 1:3725 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-3524
Practice Address - Country:US
Practice Address - Phone:614-261-8155
Practice Address - Fax:614-261-4505
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-15
Last Update Date:2008-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH25183460OtherSTATE VENDOR NUMBER
OH0433800001Medicare NSC
OH1881736965Medicare NSC
OH1063405405Medicare NSC
OH25183460OtherSTATE VENDOR NUMBER