Individual provider Active NPI

Stephanie Jo Price-Harris, O.D.

  • Optometrist
  • Ocean City, MD
National Provider Identifier
1619987575
Registry record updated Nov 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1788 Issued in MD
Practice address
12417 Ocean Gtwy
Suite #14
Ocean City, MD 21842-9521
Phone
(410) 213-9020
Fax
(410) 213-9030
NPI assigned
Aug 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1788 MD Primary

Addresses

Primary practice location

12417 Ocean Gtwy
Suite #14
Ocean City, MD 21842-9521

Mailing address

12417 Ocean Gtwy
Suite #14
Ocean City, MD 21842-9521
Phone (410) 213-9020

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20040422001098 MD Practitioner - Optometry 5193711356 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pennsylvania College of Optometry, 2002
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

12417 Ocean Gtwy
Suite 14
Ocean City, MD 21842-9355
Phone (410) 213-9020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1788MDMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Stephanie Price-Harris, O.D., P.a. Optometrist CurrentSince May 5, 2006 Accepting new patients
Low Vision Specialist, Inc. Optometrist Past Accepting new patients

Locations

12417 Ocean Gtwy
Ste 14
Ocean City, MD 21842
Phone (410) 213-9020

12417 Ocean Gtwy
Ocean City, MD 21842
Phone (410) 213-1233

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226016000000",
    "number": "1619987575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12417 OCEAN GTWY",
            "address_2": "SUITE #14",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429521",
            "telephone_number": "410-213-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12417 OCEAN GTWY",
            "address_2": "SUITE #14",
            "city": "OCEAN CITY",
            "state": "MD",
            "postal_code": "218429521",
            "telephone_number": "410-213-9020",
            "fax_number": "410-213-9030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE-HARRIS",
        "first_name": "STEPHANIE",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-09",
        "last_updated": "2008-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "1788",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocean City, MD

Sources for this page

Verify at the official NPI Registry.