Individual
BRANDON PATRICK HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
19 SUDAN ST # 2, DORCHESTER, MA 02125-1319
(360) 961-6074
Mailing address
UNIT 2060 BOX 51ST, APO, AP 96278-2060
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
60186563
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/29/2010
Last updated
10/29/2025
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