Individual
ALLISON HATLEY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1389
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0139010001
DMERC GROUP #
NC
01
—
09344
BCBS PROV #
NC
01
—
09691
BCBS GROUP #
NC
01
—
246648E
MEDICARE GROUP #
NC
01
—
410018564
RAILROAD MCARE PROVIDER #
NC
05
—
7909344
—
NC
01
—
8909691
MEDICAID GROUP #
NC
01
—
DB8258
RR MCARE GROUP #
NC
Enumeration date
04/27/2006
Last updated
03/17/2018
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