Organization Active NPI

Michael a. Harshman P.C.

  • Optometrist
  • Decatur, IN
National Provider Identifier
1487952503
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
18002484A Issued in IN
Legal business name
MICHAEL A. HARSHMAN P.C.
Practice address
815 S 13TH St
Decatur, IN 46733-1803
Phone
(260) 724-4111
Fax
(260) 724-4188
NPI assigned
Mar 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Mr. Michael A. Harshman, O.D.NPI 1598844946
Title
Owner
Phone
(260) 724-4111

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 18002484A IN Primary

Addresses

Primary practice location

815 S 13TH St
Decatur, IN 46733-1803

Mailing address

815 S 13TH St
Decatur, IN 46733-1803
Phone (260) 724-4111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110316000512 IN Part B Supplier - Clinic/Group Practice 3173739679 Receives reassigned benefits from 1 practitioner
Practice locations: Decatur, IN

National Provider Directory

National Provider Directory

Locations

815 S 13th St
Decatur, IN 46733
Phone (260) 724-4111

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1300060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1487952503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S 13TH ST",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467331803",
            "telephone_number": "260-724-4111",
            "fax_number": "260-724-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S 13TH ST",
            "city": "DECATUR",
            "state": "IN",
            "postal_code": "467331803",
            "telephone_number": "260-724-4111",
            "fax_number": "260-724-4188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL A. HARSHMAN P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-14",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "HARSHMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-724-4111",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IN",
            "license": "18002484A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.