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Individual

DR. KIRK RANDALL HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1419
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0139010001
DMERC GROUP #
NC
01
0913E
BCBS PROV #
NC
01
09691
BCBS GROUP #
NC
01
246648E
MEDICARE GROUP #
NC
01
410018240
RAILROAD MCARE PROVIDER #
NC
05
890913E
NC
01
8909691
MEDICAID GROUP #
NC
01
DB8258
RAILROAD MEDICARE GRP #
NC
Enumeration date
07/28/2005
Last updated
04/07/2022
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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