Harris Ahmad Abbasi, OD, MHA, FAAO, LSSBB

Primary specialty

OptometristTaxonomy code 152W00000X

License

0618002379 Issued in VA

Practice address

Moncrief Army Health Clinic
4500 8TH Inf Div Street
Ft Jackson, SC 29207

Phone

(803) 751-7484

NPI assigned

Oct 28, 2008

Last updated

Jun 24, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1376796821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "337-531-3288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MONCRIEF ARMY HEALTH CLINIC",
            "address_2": "4500 8TH INF DIV STREET",
            "city": "FT JACKSON",
            "state": "SC",
            "postal_code": "29207",
            "telephone_number": "803-751-7484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1585 3rd St",
            "address_purpose": "LOCATION",
            "city": "Fort Polk",
            "state": "LA",
            "postal_code": "714595102",
            "country_code": "US",
            "telephone_number": "337-531-3288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABBASI",
        "first_name": "HARRIS",
        "middle_name": "AHMAD",
        "name_prefix": "Dr.",
        "credential": "OD, MHA, FAAO, LSSBB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "VA",
            "license": "0618002379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahc Moncrief-Jackson
• Thomas Lee Anderson, PHD
• Larry Kenneth Andreo, M.D.
• Gary Tillery Applewhite, DDS
• Colleen Barkley, MPT, SCS, ATC

• Optometrist in Fort Jackson, SC
• Providers in Fort Jackson, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.