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Individual

BARRY HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
901 LINWOOD DR, PARAGOULD, AR 72450-4854
(870) 239-2251
(870) 239-6017
Mailing address
901 LINWOOD DR, PARAGOULD, AR 72450-4854
(870) 239-2251
(870) 239-6017

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2310
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102580722
AR
01
496207933
MEDICARE ID-UNSPECIFIED
AR
01
P00146489
RAILROAD MEDICARE
AR
Enumeration date
07/28/2006
Last updated
08/31/2022
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