Organization Active NPI

J Michael Harmon OD an Optometric Corporation

  • Optometrist
  • Santa Rosa, CA
National Provider Identifier
1003263070
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
5535T Issued in CA
Legal business name
J MICHAEL HARMON OD AN OPTOMETRIC CORPORATION
Practice address
534 Larkfield Ctr
Santa Rosa, CA 95403-7503
Phone
(707) 578-4200
Fax
(707) 578-5622
NPI assigned
May 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Cynthia Marie Harmon
Title
Office Manager
Phone
(707) 578-4200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 5535T CA Primary

Addresses

Primary practice location

534 Larkfield Ctr
Santa Rosa, CA 95403-7503

Mailing address

534 Larkfield Ctr
Santa Rosa, CA 95403-7503
Phone (707) 578-4200

Other names 1

  • Sonoma Eyeworks Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1003263070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "534 LARKFIELD CTR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037503",
            "telephone_number": "707-578-4200",
            "fax_number": "707-578-5622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 LARKFIELD CTR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954037503",
            "telephone_number": "707-578-4200",
            "fax_number": "707-578-5622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J MICHAEL HARMON OD AN OPTOMETRIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "HARMON",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "707-578-4200",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "5535T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonoma Eyeworks",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.