Michael G Pharris OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

NOTAPPLICABLE Issued in MD

Legal business name

MICHAEL G PHARRIS OD PC

Doing business as

Adventure Dental, Vision and Orthodontics

Practice address

5632 The Alameda
Baltimore, MD 21239-2737

Phone

(410) 435-0008

Fax

(410) 435-0444

NPI assigned

Apr 22, 2016

Last updated

Jul 26, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

MICHAEL G PHARRIS OD PCAs reported in NPPES

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

Authorized official

Name

Dr. Michael Pharris, ODNPI 1497828776

Title

Owner/ Optometrist

Phone

(719) 576-1850

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Adventure Dental, Vision and Orthodontics Doing business as

Part of

Adventure Vision

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Michael G Pharris OD PC

  dba Adventure Dental and Vision

  • Optometrist
  • Baltimore, MD
  • NPI 1205006145
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael G Pharris Jr., OD

  • Pediatric Optometrist
  • Colorado Springs, CO
  • NPI 1497828776
  NPD (past) Authorized official

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469491200000",
    "number": "1023462389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809031708",
            "telephone_number": "719-576-1850",
            "fax_number": "719-576-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5632 THE ALAMEDA",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392737",
            "telephone_number": "410-435-0008",
            "fax_number": "410-435-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G PHARRIS OD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MICHAEL G PHARRIS OD PC",
        "enumeration_date": "2016-04-22",
        "last_updated": "2016-07-26",
        "status": "A",
        "authorized_official_last_name": "PHARRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/ OPTOMETRIST",
        "authorized_official_telephone_number": "719-576-1850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "NOTAPPLICABLE",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Dental, Vision and Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mib Partnership LLP (Medical Imaging of Baltimore)
• Shien Tsui Liu Micchelli, M.D.
• Michael a. Randolph, MD PC
• Michael B. Freedman PHD
• Michael C. Collins, D.M.D., P.a.
• Michael G Pharris OD PC (Adventure Dental and Vision)
• Michael G. Hayes, M.D.PA
• Michael J Mininsohn, MD, PA
• Michael K. Exler, D.D.S., P.a.
• Michael L. Levin

• Optometrist in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; 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.