Organization
LARRY E HARRIS OD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY EUGENE HARRIS O.D. (OWNER-OPTOMETRIST)
(785) 235-6550
Entity
Organization
Contact information
Practice address
403 NW LYMAN RD, TOPEKA, KS 66608-1969
(785) 235-6550
Mailing address
403 NW LYMAN RD, PO BOX 8659, TOPEKA, KS 66608-1969
(785) 235-6550
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
937-3
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043977
BC-BS INDIVIDUAL #
KS
01
—
049639
MEDICARE GROUP NUMBER
KS
01
—
0761573
EMPLOYER ID#
KS
Enumeration date
07/12/2007
Last updated
06/21/2018
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