Individual
KIMBERLY KAY HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000028
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01704701
CAPITAL BLUE CROSS
—
01
—
397245
NATIONAL VISION ADMIN
—
01
—
397407
NATIONAL VISION ADMIN
—
01
—
52796
DAVIS VISION
—
01
—
PA7915
VISON BENEFITS OF AMERICA
—
01
—
PA97915
VISION BENEFITS OF AMERIC
—
01
—
VI1631464
CLARITY VISION
—
01
—
VI1681247
PA BLUE SHIELD
PA
01
—
VI1681247
CLARITY VISION
—
Enumeration date
03/15/2006
Last updated
11/18/2022
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