Berry Allen Harris, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-8471 Issued in IL

Practice address

2807 N Vermilion St Ste 4
Danville, IL 61832-1444

Phone

(217) 446-5554

Fax

(217) 446-5554

NPI assigned

Jan 15, 2007

Sex

Male

Sole proprietor

Yes

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

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Indiana University - School of Optometry, 1985

Medicare assignment

May accept Medicare assignment

Group practices

Family First Vision Care Kentucky LLC 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

Practice roles

Locations

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.

• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Fort Mitchell, KY
  • NPI 1396396750

  IN, Optometrist

  Medicare reassignment Care Compare group NPD
• Illinois Express Vis Ctr Dnvll Inc

  • Optometrist
  • Danville, IL
  • NPI 1487724910
  NPD (past)
• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Evansville, IN
  • NPI 1053030924
  NPD (past)
• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Terre Haute, IN
  • NPI 1114646031
  NPD (past)
• Family First Vision Care Kentucky, LLC

  • Optometrist
  • Evansville, IN
  • NPI 1225757149
  NPD (past)
• Vision Mart Eye Center, Inc.

  • Optician
  • Terre Haute, IN
  • NPI 1689210296
  NPD (past)
• Vision Mart Eye Center, Inc.

  • Optician
  • Terre Haute, IN
  • NPI 1891897187
  NPD (past)

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437200516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5184 N 15TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478051639",
            "telephone_number": "812-466-9130",
            "fax_number": "217-446-5554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 N VERMILION ST STE 4",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321444",
            "telephone_number": "217-446-5554",
            "fax_number": "217-446-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BERRY",
        "middle_name": "ALLEN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-8471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabeeha Haque Ali, MD
• Kayla Harbison, PSY.D.
• Shanon Imena Hardin, CP
• James Matthew Hardy, D.D.S.
• Rhonda Hardy, MSN, NP-C
• Marissa Harris, LCSW
• Alyssa S Harrison, APN
• Tiffany Harrison
• Vanetta Kunsch Harvey, BA
• Sitti Fatima Dy Hassan

• All providers in Danville, IL
• Optometrist in Illinois

• 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.