Provider Demographics
NPI:1700957024
Name:PRIHAR, HARRY SINGH (OO)
Entity Type:Individual
Prefix:
First Name:HARRY
Middle Name:SINGH
Last Name:PRIHAR
Suffix:
Gender:M
Credentials:OO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:342 CHESTNUT ST
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:PA
Mailing Address - Zip Code:17042-6138
Mailing Address - Country:US
Mailing Address - Phone:717-273-3872
Mailing Address - Fax:717-273-3872
Practice Address - Street 1:342 CHESTNUT ST
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-6138
Practice Address - Country:US
Practice Address - Phone:717-273-3872
Practice Address - Fax:717-273-3872
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA6367-P152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT-27101Medicare UPIN