Organization
FREDERICK R. HARRIS, O.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK R. HARRIS O.D. (OWNER)
(626) 799-2212
Entity
Organization
Contact information
Practice address
1941 HUNTINGTON DR, SUITE F, SOUTH PASADENA, CA 91030-4967
(626) 799-2212
Mailing address
1941 HUNTINGTON DR, SUITE F, SOUTH PASADENA, CA 91030-4967
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT 4835 TPL
CA
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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