Provider Demographics
NPI:1700877263
Name:FOSHEE, HARRIETT B (OD)
Entity Type:Individual
Prefix:DR
First Name:HARRIETT
Middle Name:B
Last Name:FOSHEE
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 1:122 W COMMERCE ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36037-0248
Mailing Address - Country:US
Mailing Address - Phone:334-382-3691
Mailing Address - Fax:334-382-0289
Practice Address - Street 1:122 W COMMERCE ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:AL
Practice Address - Zip Code:36037-0248
Practice Address - Country:US
Practice Address - Phone:334-382-3691
Practice Address - Fax:334-382-0289
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-03
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS564TA284152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000058262Medicaid
AL000058262Medicare ID - Type Unspecified
AL000058262Medicaid