Individual
DR. JOHN DOUGHERTY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
226 JUNIPER DR, WILBRAHAM, MA 01095-9701
(413) 533-7115
Mailing address
226 JUNIPER DR, WILBRAHAM, MA 01095-9701
(413) 949-3255
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2180
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2180
LICENSE
MA
Enumeration date
09/28/2006
Last updated
07/08/2007
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