Individual
DR. MIKE E HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1328 E 12TH ST, CASPER, WY 82601-3912
(307) 237-8713
(307) 237-5740
Mailing address
1328 E 12TH ST, CASPER, WY 82601-3912
(307) 237-8713
(307) 237-5740
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
127T
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104113400
—
WY
Enumeration date
08/23/2005
Last updated
01/22/2020
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