Individual
DR. WILLIAM L HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
111 E FOREST ST, SUITE E, BRIGHAM CITY, UT 84302-2127
(435) 723-2144
(435) 723-4760
Mailing address
111 E FOREST ST, SUITE E, BRIGHAM CITY, UT 84302-2127
(435) 723-2144
(435) 723-4760
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
112018-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107009215103
IHC
UT
01
—
1424777
MAILHANDLERS
UT
01
—
16700
PEHP
UT
01
—
2116865206 2
BENESYS
UT
01
—
320341
BLUE SHIELD OF IDAHO
ID
01
—
37044
DESERET MUTUAL
UT
01
—
557942
FOCUS
UT
01
—
73288
CCN
UT
01
—
870489203HA1
EDUCATOR'S MUTUAL
UT
01
—
QM0000030898
ALTIUS
UT
Enumeration date
06/08/2006
Last updated
04/24/2008
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