Individual
DR. PAUL ALAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1245 MADISON AVE, MEMPHIS, TN 38104-2211
(443) 857-3925
(410) 252-1719
Mailing address
1245 MADISON AVE, MEMPHIS, TN 38104-2211
(901) 722-3250
(901) 722-3347
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2951
TN
152WV0400X
Vision Therapy Optometrist
TA0816
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
399433-02
BCBS OF MD
MD
Enumeration date
09/27/2006
Last updated
06/02/2021
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