NPIMap

Organization Active NPI

Frederick R. Harris, O.D., Inc.

  • Optometrist
  • South Pasadena, CA
National Provider Identifier
1114237658
Registry record updated Oct 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 4835 TPL Issued in CA
Legal business name
FREDERICK R. HARRIS, O.D., INC.
Practice address
1941 Huntington Dr
Suite F
South Pasadena, CA 91030-4967
Phone
(626) 799-2212
NPI assigned
Oct 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2010

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

Authorized official

Name
Dr. Frederick R. Harris, O.D.
Title
Owner
Phone
(626) 799-2212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OPT 4835 TPL CA Primary

Addresses

Primary practice location

1941 Huntington Dr
Suite F
South Pasadena, CA 91030-4967

Mailing address

1941 Huntington Dr
Suite F
South Pasadena, CA 91030-4967

National Provider Directory

National Provider Directory

Locations

1941 Huntington Dr
Ste F
South Pasadena, CA 91030
Phone (626) 799-2212

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1114237658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1941 HUNTINGTON DR",
            "address_2": "SUITE F",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1941 HUNTINGTON DR",
            "address_2": "SUITE F",
            "city": "SOUTH PASADENA",
            "state": "CA",
            "postal_code": "910304967",
            "telephone_number": "626-799-2212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK R. HARRIS, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-799-2212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 4835 TPL",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2010; 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.