Provider Demographics
NPI:1760065684
Name:HARMON, JOSEPH JASON SR
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:JASON
Last Name:HARMON
Suffix:SR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 MAIN ST N STE C
Mailing Address - Street 2:
Mailing Address - City:NAVARRE
Mailing Address - State:OH
Mailing Address - Zip Code:44662-1159
Mailing Address - Country:US
Mailing Address - Phone:330-526-5100
Mailing Address - Fax:330-484-6590
Practice Address - Street 1:1 MAIN ST N STE C
Practice Address - Street 2:
Practice Address - City:NAVARRE
Practice Address - State:OH
Practice Address - Zip Code:44662-1159
Practice Address - Country:US
Practice Address - Phone:330-526-5100
Practice Address - Fax:330-484-6590
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician