Individual provider Active NPI

William Robert Harmon Jr., OD

  • Optometrist
  • Mt Clemens, MI
National Provider Identifier
1770629982
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4901003665 Issued in MI
Practice address
140 Macomb
Mt Clemens, MI 48043
Phone
(586) 468-7612
Fax
(586) 468-9701
NPI assigned
Jan 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4901003665 MI Primary

Addresses

Primary practice location

140 Macomb
Mt Clemens, MI 48043

Mailing address

140 Macomb
Mt Clemens, MI 48043
Phone (586) 468-7370

Other identifiers 1

IdentifierTypeStateIssuer
944498893MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20090505000097 MI Practitioner - Optometry 1557419314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ferris State College - College of Optometry, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
P-Cor LLCGroup PAC ID 9931194149, 81 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-3226

35184 Central City Pkwy
Westland, MI 48185-6215
Phone (734) 427-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pcor, LLC Optometrist CurrentSince Jun 1, 2014 Accepting new patients
Pcor LLC Optometrist CurrentSince Jun 1, 2014 Accepting new patients
Associated Eye Specialists of Farmington Hills, PC Past Accepting new patients

Locations

1961 S Telegraph Rd
Ste 101
Bloomfield Township, MI 48302
Phone (248) 972-2555

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

2799 W Grand Blvd
#5
Detroit, MI 48202
Phone (313) 916-2710

40895 Ann Arbor Rd E
Plymouth, MI 48170
Phone (734) 233-6300

735 John R Rd
Ste 150
Troy, MI 48083
Phone (248) 588-9300

35184 Central City Pkwy
Westland, MI 48185
Phone (734) 427-5200

Interoperability endpoints

  • Direct secure messaging: wharmon300849@direct.hfhs.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1770629982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 MACOMB",
            "city": "MT CLEMENS",
            "state": "MI",
            "postal_code": "48043",
            "telephone_number": "586-468-7370",
            "fax_number": "586-464-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 MACOMB",
            "city": "MT CLEMENS",
            "state": "MI",
            "postal_code": "48043",
            "telephone_number": "586-468-7612",
            "fax_number": "586-468-9701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARMON",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-29",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MI",
            "license": "4901003665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "944498893",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Clemens, MI

Sources for this page

Verify at the official NPI Registry.