Mike E Harris, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

127T Issued in WY

Practice address

1328 E 12TH St
Casper, WY 82601-3912

Phone

(307) 237-8713

Fax

(307) 237-5740

NPI assigned

Aug 23, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WY

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

Specialty

Optometry

Education

Other, 1979

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Vision and Contact Lens Clinic LLCGroup PAC ID 8224049648, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

15.83 of 100Reported as individual

Quality

31.67

Improvement activities

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Family Vision and Contact Lens Clinic, LLC

  • Optometrist
  • Casper, WY
  • NPI 1407801137
  Medicare reassignment Care Compare group NPD
• Stickelberger Vision

  • Optometrist
  • Casper, WY
  • NPI 1871958660
  NPD

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

{
    "created_epoch": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1104819333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1328 E 12TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013912",
            "telephone_number": "307-237-8713",
            "fax_number": "307-237-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1328 E 12TH ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826013912",
            "telephone_number": "307-237-8713",
            "fax_number": "307-237-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "MIKE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WY",
            "license": "127T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104113400",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harmony Case Management LLC
• Paul M. Harnetty, MD
• Nancy Harns, RN
• Richard Harris II
• Guy Reginald Harris, LCSW
• Taylor Alexandra Harris, DO
• Stephanie Harrison, LPC
• Bronwyn Chenta Harstad, PCSW
• Heather Hartless-McClung, RN 28779
• Patricia A Hartley, LPC

• Optometrist in Casper, WY
• Providers in Casper, WY by specialty
• Optometrist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.