Organization Active NPI

Dwayne E. Harris, O.D., P.a

  • Optometrist
  • Spartanburg, SC
National Provider Identifier
1083872717
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
976 Issued in SC
Legal business name
DWAYNE E. HARRIS, O.D., P.A
Practice address
1450 W O Ezell Blvd
Suite 600
Spartanburg, SC 29301-1500
Phone
(864) 587-2021
Fax
(864) 587-5093
NPI assigned
May 29, 2008
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dwayne E. Harris, O.D.NPI 1598883415
Title
Owner
Phone
(864) 587-2021

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 976 SC Primary

Addresses

Primary practice location

1450 W O Ezell Blvd
Suite 600
Spartanburg, SC 29301-1500

Mailing address

1450 W O Ezell Blvd
Suite 600
Spartanburg, SC 29301-1500
Phone (864) 587-2021

National Provider Directory

National Provider Directory

Locations

1450 Wo Ezell Blvd
Ste 600
Spartanburg, SC 29301
Phone (846) 587-2021

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1212019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1083872717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W O EZELL BLVD",
            "address_2": "SUITE 600",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011500",
            "telephone_number": "864-587-2021",
            "fax_number": "864-587-5093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 W O EZELL BLVD",
            "address_2": "SUITE 600",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011500",
            "telephone_number": "864-587-2021",
            "fax_number": "864-587-5093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DWAYNE E. HARRIS, O.D., P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-29",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "864-587-2021",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.