1790809457 NPI number — DAVID M HARMAN MD LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1790809457 NPI number — DAVID M HARMAN MD LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DAVID M HARMAN MD LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
HARMAN EYE CENTER OF AMHERST OPTICAL
Provider Other Organization Name Type Code:
5
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1790809457
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/29/2021
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 45923
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21297-5923
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
877-969-0392
Provider Business Mailing Address Fax Number:
434-385-1414

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
204 AMBRIAR PLAZA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AMHERST
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24521
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
434-946-2020
Provider Business Practice Location Address Fax Number:
434-381-6078
Provider Enumeration Date:
03/19/2007

Additional Information

Authorized Official

Authorized Official Last Name:
BURTON
Authorized Official First Name:
AMY
Authorized Official Middle Name:
Authorized Official Title or Position:
RCM MANAGER
Authorized Official Telephone Number:
877-969-0392

Provider Taxonomy Codes

  • Taxonomy code: 332H00000X , with the licence number:  1101002612 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 332H00000X , with the licence number: 1101 003059 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332H00000X , with the licence number: 1101002961 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332H00000X , with the licence number: 1101002485 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332H00000X , with the licence number: 1101003235 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332H00000X , with the licence number: 1101001048 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 332H00000X , with the licence number: 1101003238 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)





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