Provider Demographics
NPI:1790809457
Name:DAVID M HARMAN MD LLC
Entity Type:Organization
Organization Name:DAVID M HARMAN MD LLC
Other - Org Name:HARMAN EYE CENTER OF AMHERST OPTICAL
Other - Org Type:Other Name
Authorized Official - Title/Position:RCM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AMY
Authorized Official - Middle Name:
Authorized Official - Last Name:BURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-969-0392
Mailing Address - Street 1:PO BOX 45923
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21297-5923
Mailing Address - Country:US
Mailing Address - Phone:877-969-0392
Mailing Address - Fax:434-385-1414
Practice Address - Street 1:204 AMBRIAR PLAZA
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:VA
Practice Address - Zip Code:24521
Practice Address - Country:US
Practice Address - Phone:434-946-2020
Practice Address - Fax:434-381-6078
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1101002612332H00000X
VA1101 003059332H00000X
VA1101002961332H00000X
VA1101002485332H00000X
VA1101003235332H00000X
VA1101001048332H00000X
VA1101003238332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4983800001Medicare NSC