Individual provider Active NPI

David Joseph Harris III, M.D.

  • Ophthalmology Physician
  • Jersey City, NJ
National Provider Identifier
1588923429
Registry record updated Oct 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
49063 Issued in KY
Practice address
600 Pavonia Ave Ste 6
Jersey City, NJ 07306-2932
Phone
(201) 963-3937
NPI assigned
May 13, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X R3096 KY
Ophthalmology Physician 207W00000X 49063 KY Primary

Addresses

Primary practice location

600 Pavonia Ave Ste 6
Jersey City, NJ 07306-2932

Mailing address

600 Pavonia Ave Ste 6
Jersey City, NJ 07306-2932
Phone (201) 963-3937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240424001416 TN Practitioner - Ophthalmology 8325353287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
East Tennessee State University Quillen College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Eye Specialists, P.C.Group PAC ID 0941278709, 15 clinicians

Practice addresses (Care Compare)

1932 Alcoa Hwy
Suite C255
Knoxville, TN 37920-1508
Phone (865) 244-2020

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University Eye Specialists, PC Ophthalmology CurrentSince May 13, 2024 Accepting new patients
University Eye Surgeons, P.C. CurrentSince May 13, 2024 Accepting new patients

Locations

140 Capital Dr
Ste 120
Knoxville, TN 37922
Phone (865) 244-2020

1932 Alcoa Hwy
Ste 255
Knoxville, TN 37920
Phone (865) 244-2030

1932 Alcoa Hwy
Ste C255
Knoxville, TN 37920
Phone (865) 244-2020

2547 Willow Point Way
Knoxville, TN 37931
Phone (865) 244-2020

622 Smithview Dr
Maryville, TN 37803
Phone (865) 244-2020

500 McFarland St
Ste A
Morristown, TN 37814
Phone (423) 581-2760

Interoperability endpoints

  • Direct secure messaging: daveharris@universityeye.direct.eyemdemr.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1336867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665360000000",
    "number": "1588923429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PAVONIA AVE STE 6",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062932",
            "telephone_number": "201-963-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PAVONIA AVE STE 6",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073062932",
            "telephone_number": "201-963-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-13",
        "last_updated": "2022-10-10",
        "certification_date": "2022-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "R3096",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "KY",
            "license": "49063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

Verify at the official NPI Registry.