Provider Demographics
NPI:1356010946
Name:SCOTT A HARRIS PLLC
Entity Type:Organization
Organization Name:SCOTT A HARRIS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ANDREW
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:972-762-5579
Mailing Address - Street 1:660 W CAMPBELL RD STE 102
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-3473
Mailing Address - Country:US
Mailing Address - Phone:972-231-3439
Mailing Address - Fax:972-231-0260
Practice Address - Street 1:660 W CAMPBELL RD STE 102
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-3473
Practice Address - Country:US
Practice Address - Phone:972-231-3439
Practice Address - Fax:972-231-0260
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty