Active NPI
Triphinia Denell Harris, OD
- Optometrist
- Dublin, OH
National Provider Identifier
1376671792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3985T184
- Practice address
- 5083 Tuttle Crossing Blvd
Dublin, OH 43016-1533 - Phone
- (614) 717-9884
- NPI assigned
- Feb 28, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3985T184 | OH | Primary |
Addresses
Primary practice location
5083 Tuttle Crossing Blvd
Dublin, OH 43016-1533
Mailing address
7885 Maple Grove Dr
Lewis Center, OH 43035-9350
Phone (740) 549-1331
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0522518 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180214001457 | OH | Practitioner - Optometry | 7012209893 | Practice locations: Dublin, OH |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3985T184 | OH | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Usv Optical Inc | Optometrist | Past | Accepting new patients |
| Usv Optical Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Eyewear Supplier
- Dublin, OH
- NPI 1093736951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1376671792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7885 MAPLE GROVE DR",
"city": "LEWIS CENTER",
"state": "OH",
"postal_code": "430359350",
"telephone_number": "740-549-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5083 TUTTLE CROSSING BLVD",
"city": "DUBLIN",
"state": "OH",
"postal_code": "430161533",
"telephone_number": "614-717-9884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "TRIPHINIA",
"middle_name": "DENELL",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "3985T184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0522518",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.