Terry J Harrison OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

859 Issued in OK

Legal business name

TERRY J HARRISON OD PC

Practice address

1230 South Broadway
Poteau, OK 74953-0490

Phone

(918) 647-2153

Fax

(918) 647-8711

NPI assigned

May 22, 2007

Last updated

Oct 30, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Terry J Harrison, OD

Title

Optometrist

Phone

(918) 647-2153

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Angela Ann Breeding, OD

  • Optometrist
  • Poteau, OK
  • NPI 1558552430
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225324800000",
    "number": "1366651606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 490",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749530490",
            "telephone_number": "918-647-2153",
            "fax_number": "918-647-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 SOUTH BROADWAY",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749530490",
            "telephone_number": "918-647-2153",
            "fax_number": "918-647-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRY J HARRISON OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2008-10-30",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "918-647-2153",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100762410A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison L Tackett
• Ashlee Taylor
• Christi Taylor
• Samantha C Taylor, PTA
• Stefanie Janine Terrell, PHARM D
• The Oaks Healthcare Center - Poteau, LLC (The Oaks Healthcare Center)
• Beverly Thomas
• Caitlyn Thomas
• Dorothy Thomas
• Jordan Thomas

• Optometrist in Poteau, OK
• Providers in Poteau, OK by specialty
• Optometrist in Oklahoma

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