Organization Active NPI

Todd Harris PC

  • Optometrist
  • Lapeer, MI
National Provider Identifier
1659579936
Registry record updated Jan 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003144 Issued in MI
Legal business name
TODD HARRIS PC
Practice address
555 E Genesee St
Lapeer, MI 48446-4611
Phone
(810) 245-3653
Fax
(810) 245-3781
NPI assigned
Jul 6, 2007
Last updated
Jan 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2008

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

Authorized official

Name
Dr. Todd L Harris, O.D.NPI 1497851414
Title
Optometrist
Phone
(810) 245-3653

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003144 MI Primary

Addresses

Primary practice location

555 E Genesee St
Lapeer, MI 48446-4611

Mailing address

3582 Ross Dr
PO Box 47
Columbiaville, MI 48421-8712
Phone (810) 793-1411

Other identifiers 1

IdentifierTypeStateIssuer
1497851414OtherMIINDIVIDUAL NPI NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040722000563 MI Part B Supplier - Clinic/Group Practice 6800876699 Receives reassigned benefits from 1 practitioner
Practice locations: Burton, MI; Lapeer, MI

National Provider Directory

National Provider Directory

Locations

555 E Genesee St
Lapeer, MI 48446
Phone (810) 245-3653

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199750400000",
    "number": "1659579936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3582 ROSS DR",
            "address_2": "PO BOX 47",
            "city": "COLUMBIAVILLE",
            "state": "MI",
            "postal_code": "484218712",
            "telephone_number": "810-793-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 E GENESEE ST",
            "city": "LAPEER",
            "state": "MI",
            "postal_code": "484464611",
            "telephone_number": "810-245-3653",
            "fax_number": "810-245-3781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TODD HARRIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2008-01-08",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "810-245-3653",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1497851414",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lapeer, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2008; 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.