Individual
JOEY LEE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1795
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0929W
BCBS
NC
01
—
24120
CIGNA OPTICARE
NC
01
—
56162
MEDCOST
NC
05
—
89093G6
—
NC
05
—
DN1795
—
SC
Enumeration date
02/23/2007
Last updated
12/20/2023
Update your record
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