Individual
ALYSSA M HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4505 E GREENSTREET CIR, WASILLA, AK 99654-8425
(907) 376-2020
Mailing address
202 WALNUT ST, FESTUS, MO 63028-1850
(636) 937-3130
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2018036027
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1671191
—
AK
Enumeration date
07/19/2016
Last updated
11/29/2018
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