Organization Active NPI

Harrison Eye Clinic, PC

  • Optometrist
  • Paris, TN
National Provider Identifier
1114089091
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TN1677 Issued in TN
Legal business name
HARRISON EYE CLINIC, PC
Practice address
3006 Dinkins LN
Paris, TN 38242-6925
Phone
(731) 644-1222
Fax
(731) 644-1220
NPI assigned
Dec 15, 2006
Last updated
Aug 27, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Authorized official

Name
Holly M Harrison, OD
Title
Doctor of Optometry
Phone
(731) 644-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TN1677 TN Primary

Addresses

Primary practice location

3006 Dinkins LN
Paris, TN 38242-6925

Mailing address

813 E Wood St
Paris, TN 38242-4223
Phone (731) 644-1222

Other identifiers 1

IdentifierTypeStateIssuer
3940430MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1114089091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 E WOOD ST",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382424223",
            "telephone_number": "731-644-1222",
            "fax_number": "731-644-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3006 DINKINS LN",
            "city": "PARIS",
            "state": "TN",
            "postal_code": "382426925",
            "telephone_number": "731-644-1222",
            "fax_number": "731-644-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISON EYE CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "731-644-1222",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "TN1677",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3940430",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.