Individual provider Active NPI

Elizabeth Abigail Harris, O.D.

  • Optometrist
  • Wyomissing, PA
National Provider Identifier
1003992355
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OEG000020 Issued in PA
Practice address
1901 Ridgewood Road
Wyomissing, PA 19610
Phone
(610) 373-2300
Fax
(610) 373-7014
NPI assigned
Oct 30, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000020 PA Primary

Addresses

Primary practice location

1901 Ridgewood Road
Wyomissing, PA 19610

Mailing address

1901 Ridgewood Road
Wyomissing, PA 19610
Phone (610) 373-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110617000045 PA Practitioner - Optometry 1850578212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
New England College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independence CorporationGroup PAC ID 0749351005, 12 clinicians

Practice addresses (Care Compare)

1900 W Front St
Eyeland Optical
Berwick, PA 18603-4211
Phone (570) 759-2325

4447 5TH St Hwy
Temple, PA 19560-1753
Phone (610) 929-4444

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery13

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Independence Corporation Optometrist CurrentSince May 1, 2011 Accepting new patients
Independence Corporation Optometrist CurrentSince May 1, 2011 Accepting new patients

Locations

1900 W Front St
Berwick, PA 18603
Phone (570) 759-2325

4301 Penn Ave
Ste E
Sinking Spring, PA 19608
Phone (610) 670-2020

4447 5th Street Hwy
Temple, PA 19560
Phone (610) 921-5140

2274 MacArthur Rd
Whitehall, PA 18052
Phone (610) 432-3937

Networks

  • devoted network organization-8ee96498-f86e-45f6-9fc9-a0f06c1636f9
  • devoted network organization-2d523d8e-e8f9-454a-bcd3-333df65bdbe8
  • devoted network organization-9f3dfbd3-4aa6-4c92-8e71-9c4ed35ce037

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003992355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 RIDGEWOOD ROAD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "19610",
            "telephone_number": "610-373-2300",
            "fax_number": "610-373-7014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 RIDGEWOOD ROAD",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "19610",
            "telephone_number": "610-373-2300",
            "fax_number": "610-373-7014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "ELIZABETH",
        "middle_name": "ABIGAIL",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OEG000020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyomissing, PA

Sources for this page

Verify at the official NPI Registry.