Provider Demographics
NPI:1669472528
Name:VAHER, HARALD (OD)
Entity Type:Individual
Prefix:
First Name:HARALD
Middle Name:
Last Name:VAHER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-3370
Mailing Address - Country:US
Mailing Address - Phone:704-825-9002
Mailing Address - Fax:704-825-5440
Practice Address - Street 1:1200 SPRUCE ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-3370
Practice Address - Country:US
Practice Address - Phone:704-825-9002
Practice Address - Fax:704-825-5440
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1482152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC410031058OtherRAILROAD MEDICARE
NC890939BMedicaid
NC0939BOtherBCBSNC IND.
NC890939BMedicaid
NC410031058OtherRAILROAD MEDICARE
NC1147500001Medicare NSC
NC0939BOtherBCBSNC IND.