Individual
DR. ANDREW JASON HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001599
VA
152W00000X
Optometrist
Primary
2026
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010320445
—
VA
01
—
093VG
BCBS PROV #
NC
01
—
239958
ANTHEM PROVIDER NUMBER
VA
05
—
5905646
—
NC
Enumeration date
10/03/2006
Last updated
03/17/2018
Update your record
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