Provider Demographics
NPI:1922105659
Name:HARMER, EDWARD W (OD)
Entity Type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:W
Last Name:HARMER
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 1:43 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:CARTERET
Mailing Address - State:NJ
Mailing Address - Zip Code:07008-1239
Mailing Address - Country:US
Mailing Address - Phone:732-541-8222
Mailing Address - Fax:732-541-0215
Practice Address - Street 1:43 ORCHARD ST
Practice Address - Street 2:
Practice Address - City:CARTERET
Practice Address - State:NJ
Practice Address - Zip Code:07008-1239
Practice Address - Country:US
Practice Address - Phone:732-541-8222
Practice Address - Fax:732-541-0215
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00356200152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJU06132Medicare UPIN