Organization
AKRON VISION CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK S. HARRIS OD (OWNER/DOCTOR)
(574) 893-7050
Entity
Organization
Contact information
Practice address
100 W ROCHESTER ST, AKRON, IN 46910-9997
(574) 893-7050
Mailing address
PO BOX 640, AKRON, IN 46910-0640
(574) 893-7050
(574) 893-7540
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1800192A
IN
332H00000X
Eyewear Supplier
18001927A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000246844
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/22/2008
Last updated
01/28/2011
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