Individual
ELISE HARB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D., M.S.
Contact information
Practice address
400 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2202
(415) 476-1000
Mailing address
424 BEACON ST, BOSTON, MA 02115-1129
(617) 266-2030
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
4416
MA
152W00000X
Optometrist
Primary
OPT14565
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
701122
—
MA
Enumeration date
10/18/2005
Last updated
07/21/2022
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