Harbor Ophthalmology, PLLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

ME 33861 Issued in FL

Legal business name

HARBOR OPHTHALMOLOGY, PLLC

Practice address

33920 US Highway 19 N
Suite 275
Palm Harbor, FL 34684-2676

Phone

(727) 784-1121

Fax

(727) 781-4788

NPI assigned

Oct 28, 2015

Organization subpart

No

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

Authorized official

Name

Harry Kolodner, M.D.

Title

Managing Member/ Partner

Phone

(727) 784-1121

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Harbor Ophthalmology, PLLC

  • Ophthalmology Physician
  • Palm Harbor, FL
  • NPI 1477932499

  7214244821

  Same PAC ID

Tax ID family

Harbor Ophthalmology PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Harbor Ophthalmology, PLLC

  • Ophthalmology Physician
  • Palm Harbor, FL
  • NPI 1477932499
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron Davis, MD

  • Ophthalmology Physician
  • Palm Harbor, FL
  • NPI 1457649162
  NPD

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467849600000",
    "number": "1629440706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33920 US HIGHWAY 19 N",
            "address_2": "SUITE 275",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842676",
            "telephone_number": "727-784-1121",
            "fax_number": "727-781-4788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33920 US HIGHWAY 19 N",
            "address_2": "SUITE 275",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346842676",
            "telephone_number": "727-784-1121",
            "fax_number": "727-781-4788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR OPHTHALMOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2016-07-07",
        "status": "A",
        "authorized_official_last_name": "KOLODNER",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "MANAGING MEMBER/ PARTNER",
        "authorized_official_telephone_number": "727-784-1121",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "ME 33861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSC",
            "identifier": "7518580001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "IG845A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymon Hanna, DPM
• Sandra Hanna
• Hans a Langschwager MD PA
• Harbor Hearing, P.a.
• Harbor Ophthalmology, PLLC
• Harborside Rehabilitation LP
• Harborside Rehabilitation, L.P.
• Michelle Harcastle, PTA
• Amy Beach Harcourt, PT
• Harhar Mahadev LLC

• Eyewear Supplier in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Eyewear Supplier in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.