Individual provider Active NPI

Brian Paul Harris, O.D.

  • Optometrist
  • Kernersville, NC
National Provider Identifier
1619995958
Registry record updated Nov 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
1546 Issued in NC
Practice address
1027 S Main St
Kernersville, NC 27284-8186
Phone
(336) 996-2020
NPI assigned
Jul 17, 2006
Last updated
Nov 14, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1546 NC Primary

Addresses

Primary practice location

1027 S Main St
Kernersville, NC 27284-8186

Mailing address

17 Mainsail CT
Greensboro, NC 27455-0829
Phone (336) 996-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20061205000114 NC Practitioner - Optometry 0547269334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1027 S Main St
Kernersville, NC 27284-8186
Phone (336) 996-2020

1960 Randolph Rd
Charlotte, NC 28207-1129
Phone (704) 372-5332

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1546NCMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Myeyedr Optometry of North Carolina, PLLC Optometrist Current Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Jan 2, 2015 Accepting new patients
Myeyedr Optometry of North Carolina, PLLC Optometrist CurrentSince Jan 2, 2015 Accepting new patients
Eye Care Associates OD PA Optometrist Past Accepting new patients
Myeyedr Optometry of North Carolina Optometrist Past Accepting new patients
James S Pope Dba Eye Care Clinic Optometrist Past Accepting new patients
Myeyedr Optometry of North Carolina PLLC Optometrist Past Accepting new patients
Academy Eye Center Optometry, PA Optometrist Past Accepting new patients

Locations

1960 Randolph Rd
Charlotte, NC 28207
Phone (704) 372-5332

812 S Van Buren Rd
Eden, NC 27288
Phone (336) 623-2020

3354 W Friendly Ave
Greensboro, NC 27410
Phone (336) 387-0930

3354 W Friendly Ave
Ste 147
Greensboro, NC 27410
Phone (336) 387-0930

411A Pisgah Church Rd
Greensboro, NC 27455
Phone (336) 790-3502

5710 W Gate City Blvd
Ste Q
Greensboro, NC 27407
Phone (336) 856-8711

3911 Fountain Grove Dr
High Point, NC 27265
Phone (336) 889-2225

1027 S Main St
Kernersville, NC 27284
Phone (336) 996-2020

714 Highway St
Madison, NC 27025
Phone (336) 427-2020

100 Professional Dr
Reidsville, NC 27320
Phone (336) 342-3336

1033 Randolph St
Ste 4
Thomasville, NC 27360
Phone (336) 475-0151

1950 Old Gallows Rd
Ste 520
Vienna, VA 22182

8614 Westwood Center Dr
Fl 9
Vienna, VA 22182

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510617600000",
    "number": "1619995958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAINSAIL CT",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274550829",
            "telephone_number": "336-996-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 S MAIN ST",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848186",
            "telephone_number": "336-996-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "BRIAN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "1546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.