Individual
BENJAMIN F HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
8436 VAUGHN RD, MONTGOMERY, AL 36117-8862
(334) 271-3900
(334) 271-3915
Mailing address
8436 VAUGHN RD, MONTGOMERY, AL 36117-8862
(334) 271-3900
(334) 271-3915
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
S793TA189
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000058593
—
AL
01
—
51058593
BC
AL
Enumeration date
06/21/2006
Last updated
07/09/2013
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