Provider Demographics
NPI:1366649964
Name:HARPER, EMILY L (OD)
Entity Type:Individual
Prefix:DR
First Name:EMILY
Middle Name:L
Last Name:HARPER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:419 HIGHWAY 52 BYP W
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:TN
Mailing Address - Zip Code:37083-1758
Mailing Address - Country:US
Mailing Address - Phone:615-666-9696
Mailing Address - Fax:615-666-9647
Practice Address - Street 1:419 HIGHWAY 52 BYP W
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:TN
Practice Address - Zip Code:37083-1758
Practice Address - Country:US
Practice Address - Phone:615-666-9696
Practice Address - Fax:615-666-9647
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-28
Last Update Date:2023-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2732152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1517115Medicaid
TN1517115Medicaid