Active NPI
Joseph Edwin Harkins, O.D.
- Optometrist
- Ft. Meade, MD
National Provider Identifier
1689733586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- OE-007890-T
- Practice address
- Kimbrough Ambulatory Care Center
2480 Llewellyn Ave
Ft. Meade, MD 20755 - Phone
- (301) 677-8376
- Fax
- (301) 677-8077
- NPI assigned
- Dec 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OE-007890-T | PA | Primary |
Addresses
Primary practice location
Kimbrough Ambulatory Care Center
2480 Llewellyn Ave
Ft. Meade, MD 20755
Mailing address
Kimbrough Ambulatory Care Center
2480 Llewellyn Ave
Ft. Meade, MD 20755
Phone (301) 677-8376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OE-007890-T | PA | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689733586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "KIMBROUGH AMBULATORY CARE CENTER",
"address_2": "2480 LLEWELLYN AVE",
"city": "FT. MEADE",
"state": "MD",
"postal_code": "20755",
"telephone_number": "301-677-8376",
"fax_number": "301-677-8077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KIMBROUGH AMBULATORY CARE CENTER",
"address_2": "2480 LLEWELLYN AVE",
"city": "FT. MEADE",
"state": "MD",
"postal_code": "20755",
"telephone_number": "301-677-8376",
"fax_number": "301-677-8077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARKINS",
"first_name": "JOSEPH",
"middle_name": "EDWIN",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "PA",
"license": "OE-007890-T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft. Meade, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.