Provider Demographics
NPI:1790333912
Name:YORK, ELIZABETH HARRIS (OD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:HARRIS
Last Name:YORK
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 1:2063 15TH AVENUE PL SE
Mailing Address - Street 2:
Mailing Address - City:HICKORY
Mailing Address - State:NC
Mailing Address - Zip Code:28602-8340
Mailing Address - Country:US
Mailing Address - Phone:828-322-2606
Mailing Address - Fax:
Practice Address - Street 1:2063 15TH AVENUE PL SE
Practice Address - Street 2:
Practice Address - City:HICKORY
Practice Address - State:NC
Practice Address - Zip Code:28602-8340
Practice Address - Country:US
Practice Address - Phone:828-322-2606
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-30
Last Update Date:2019-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2599152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist