Harrisburg Eye Clinic, PA

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

D9023 Issued in TX

Legal business name

HARRISBURG EYE CLINIC, PA

Practice address

7438 Harrisburg Blvd
Houston, TX 77011-4741

Phone

(713) 928-3375

Fax

(713) 928-6173

NPI assigned

Sep 6, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Daniel E. Jenkins III, MD

Title

President

Phone

(713) 928-3375

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Harrisburg Eye Clinic Doing business as

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Harrisburg Eye Clinic PA

  • Eyewear Supplier
  • Houston, TX
  • NPI 1548364250
  NPPES parent name

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323388800000",
    "number": "1407959653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7438 HARRISBURG BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770114741",
            "telephone_number": "713-928-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7438 HARRISBURG BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770114741",
            "telephone_number": "713-928-3375",
            "fax_number": "713-928-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISBURG EYE CLINIC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2011-12-09",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-928-3375",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "D9023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082179501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrisburg Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trang Harris
• Tywanna Evette Harris
• Valerie Harris, RD
• Harrisburg Clinic, Inc
• Harrisburg Eye Clinic PA
• Harrisburg Pharmacy, PLLC
• Latonia Harrision
• Benjetta M Harrison West, LPC
• McKenzie Evon Harrison-Bolen, PA-C
• Akbar Harrison, LPC

• Ophthalmology Physician in Houston, TX
• Providers in Houston, TX by specialty
• Ophthalmology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2011; 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.