Michael L. Harris, M.D., LTD.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

17469 Issued in WV

Legal business name

MICHAEL L. HARRIS, M.D., LTD.

Practice address

4501 Maccorkle Ave SW
Suite 500
South Charleston, WV 25309-1444

Phone

(304) 766-6266

Fax

(304) 766-7825

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Lindon Harris, MDNPI 1215964762

Title

Owner

Phone

(304) 766-6266

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Michael L. Harris MD, LTD

  • Eyewear Supplier
  • South Charleston, WV
  • NPI 1649476169

  O20041227000458

  Same enrollment

Locations

Practitioners 1

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

• Michael Lindon Harris, MD

  • Ophthalmology Physician
  • South Charleston, WV
  • NPI 1215964762
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1730260399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4501 MACCORKLE AVE SW",
            "address_2": "SUITE 500",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091444",
            "telephone_number": "304-766-6266",
            "fax_number": "304-766-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MACCORKLE AVE SW",
            "address_2": "SUITE 500",
            "city": "SOUTH CHARLESTON",
            "state": "WV",
            "postal_code": "253091444",
            "telephone_number": "304-766-6266",
            "fax_number": "304-766-7825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL L. HARRIS, M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "LINDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-766-6266",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "WV",
            "license": "17469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0095821000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clara Ruby Merryman
• Jordan Messinger
• Metamorphosis Counseling, Inc
• Randa Meyers
• Michael L. Harris MD, LTD
• Michael Sitler, MD, Inc.
• Roberta Mickey
• Cheryl Midkiff
• Cynthia Milam
• Wade Milbee

• Ophthalmology Physician in South Charleston, WV
• Providers in South Charleston, WV by specialty
• Ophthalmology Physician in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.