Organization Active NPI

Larry E Harris OD

  • Optometrist
  • Topeka, KS
National Provider Identifier
1083813877
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
937-3 Issued in KS
Legal business name
LARRY E HARRIS OD
Practice address
403 NW Lyman Rd
Topeka, KS 66608-1969
Phone
(785) 235-6550
NPI assigned
Jul 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

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

Authorized official

Name
Larry Eugene Harris, O.D.
Title
Owner-Optometrist
Phone
(785) 235-6550

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 937-3 KS Primary

Addresses

Primary practice location

403 NW Lyman Rd
Topeka, KS 66608-1969

Mailing address

403 NW Lyman Rd
PO Box 8659
Topeka, KS 66608-1969
Phone (785) 235-6550

Other identifiers 3

IdentifierTypeStateIssuer
049639OtherKSMEDICARE GROUP NUMBER
0761573OtherKSEMPLOYER ID#
043977OtherKSBC-BS INDIVIDUAL #

National Provider Directory

National Provider Directory

Locations

403 NW Lyman Rd
Topeka, KS 66608
Phone (785) 235-6550

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1083813877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 NW LYMAN RD",
            "address_2": "PO BOX 8659",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666081969",
            "telephone_number": "785-235-6550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 NW LYMAN RD",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666081969",
            "telephone_number": "785-235-6550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LARRY E HARRIS OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "OWNER-OPTOMETRIST",
        "authorized_official_telephone_number": "785-235-6550",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "KS",
            "license": "937-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "049639",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYER ID#",
            "identifier": "0761573",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC-BS INDIVIDUAL #",
            "identifier": "043977",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.