Provider Demographics
NPI:1619276417
Name:HARRON EYECARE
Entity Type:Organization
Organization Name:HARRON EYECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OD
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:W
Authorized Official - Last Name:HARRON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:770-712-8704
Mailing Address - Street 1:211 HAMPTON PARK DR
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-2489
Mailing Address - Country:US
Mailing Address - Phone:706-354-4222
Mailing Address - Fax:706-355-3820
Practice Address - Street 1:1911 EPPS BRIDGE PKWY
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-6130
Practice Address - Country:US
Practice Address - Phone:706-369-5327
Practice Address - Fax:706-369-3952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-18
Last Update Date:2011-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty