Harrisburg Eye Clinic PA

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

DR0223 Issued in TX

Legal business name

HARRISBURG EYE CLINIC PA

Doing business as

Harrisburg Optical

Practice address

7430 Harrisburg Blvd
Houston, TX 77011-4741

Phone

(713) 928-2796

Fax

(713) 928-5082

NPI assigned

Sep 12, 2006

Last updated

Aug 15, 2008By the provider in NPPES

Organization subpart

Yes

Parent organization

HARRISBURG EYE CLINIC PAAs reported in NPPES

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

Authorized official

Name

Dr. Daniel Edwards Jenkins III, M.D.NPI 1871523464

Title

President

Phone

(713) 928-3375

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Harrisburg Optical Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Part of

Harrisburg Eye Clinic

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Harrisburg Eye Clinic, PA

  dba Harrisburg Eye Clinic

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1407959653
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel E Jenkins III, M.D.

  • Ophthalmology Physician
  • Houston, TX
  • NPI 1871523464
  NPD (past) Authorized official

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

{
    "created_epoch": "1158019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1548364250",
    "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",
            "fax_number": "713-928-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 HARRISBURG BLVD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770114741",
            "telephone_number": "713-928-2796",
            "fax_number": "713-928-5082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRISBURG EYE CLINIC PA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARRISBURG EYE CLINIC PA",
        "enumeration_date": "2006-09-12",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "EDWARDS",
        "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": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "TX",
            "license": "DR0223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "082179501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "115474202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harrisburg Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tracee J Harris, PMHNP-BC
• Trang Harris
• Tywanna Evette Harris
• Valerie Harris, RD
• Harrisburg Clinic, Inc
• Harrisburg Eye Clinic, PA (Harrisburg Eye Clinic)
• Harrisburg Pharmacy, PLLC
• Latonia Harrision
• Benjetta M Harrison West, LPC
• McKenzie Evon Harrison-Bolen, PA-C

• Eyewear Supplier in Houston, TX
• Providers in Houston, TX by specialty
• Eyewear Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.