Provider Demographics
NPI:1891977724
Name:HARRITY OPTICAL INC.
Entity Type:Organization
Organization Name:HARRITY OPTICAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:G
Authorized Official - Last Name:HARRITY
Authorized Official - Suffix:
Authorized Official - Credentials:OPT
Authorized Official - Phone:716-947-9992
Mailing Address - Street 1:6913 ERIE RD
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:NY
Mailing Address - Zip Code:14047-9689
Mailing Address - Country:US
Mailing Address - Phone:716-947-9992
Mailing Address - Fax:
Practice Address - Street 1:6913 ERIE RD
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:NY
Practice Address - Zip Code:14047-9689
Practice Address - Country:US
Practice Address - Phone:716-947-9992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-03
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYAA0376Medicare PIN