Dwayne E. Harris, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

976 Issued in SC

Practice address

1450 Wo Ezell Blvd
#600
Spartanburg, SC 29301-1500

Phone

(864) 587-2021

NPI assigned

Mar 27, 2007

Last updated

May 6, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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 SC

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

Pennsylvania College of Optometry, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dwayne E. Harris, O.D., P.a

  • Optometrist
  • Spartanburg, SC
  • NPI 1083872717
  NPD (past) Authorized official

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210032000000",
    "number": "1598883415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W O EZELL BLVD",
            "address_2": "#600",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011500",
            "telephone_number": "864-587-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 WO EZELL BLVD",
            "address_2": "#600",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293011500",
            "telephone_number": "864-587-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "DWAYNE",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2008-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "SC",
            "license": "976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard J Harp, MD
• John A Harrill Jr., MD
• Sheila Renee Harrington, APRN
• Casey Collins Harris, FNP
• Cynthia Bishop Harris, FNP-C
• Elisha Evette Harris, RN
• Jennifer Erin Harris, M.D.
• Latirrani Zhane Harris, RN
• Maria L Harris
• Megan Elizabeth Harris, MS, MED, LPC

• Optometrist in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Optometrist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.