Provider Demographics
NPI:1679562607
Name:HARMAN, GENE A (OD)
Entity Type:Individual
Prefix:DR
First Name:GENE
Middle Name:A
Last Name:HARMAN
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:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37024-0035
Mailing Address - Country:US
Mailing Address - Phone:615-373-4747
Mailing Address - Fax:615-373-0431
Practice Address - Street 1:5554 FRANKLIN PIKE
Practice Address - Street 2:SUITE 100
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37220-2131
Practice Address - Country:US
Practice Address - Phone:615-373-4747
Practice Address - Fax:615-373-0431
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-21
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN513 OD152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN98323OtherBLUE CROSS BLUE SHIELD
TN0133940001OtherSUPPLIER NUMBER
TN0133940001OtherSUPPLIER NUMBER
TNU01055Medicare UPIN
TN3592683Medicare ID - Type Unspecified