Harry J. Landrum, Jr, OD, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

ML0431572 Issued in NJ

Legal business name

HARRY J. LANDRUM, JR, OD, PC

Practice address

10 Baker Blvd
Mullica Hill, NJ 08062-1504

Phone

(856) 223-9100

Fax

(856) 223-1626

NPI assigned

Mar 22, 2007

Last updated

Dec 8, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Harry J. Landrum Jr., O.D.NPI 1285718387

Title

President

Phone

(856) 223-9100

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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).

• Harry J. Landrum, Jr, OD, PC

  • Optometrist
  • Philadelphia, PA
  • NPI 1144347584

  5890969794

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Harry J Landrum Jr OD2 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.

• Harry J. Landrum, Jr, OD, PC

  • Optometrist
  • Philadelphia, PA
  • NPI 1144347584
  NPD tax ID

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.

• Harry J. Landrum Jr., O.D.

  • Optometrist
  • Mullica Hill, NJ
  • NPI 1285718387
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323302400000",
    "number": "1790802130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BAKER BLVD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621504",
            "telephone_number": "856-223-9100",
            "fax_number": "856-223-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BAKER BLVD",
            "city": "MULLICA HILL",
            "state": "NJ",
            "postal_code": "080621504",
            "telephone_number": "856-223-9100",
            "fax_number": "856-223-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY J. LANDRUM, JR, OD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2011-12-08",
        "status": "A",
        "authorized_official_last_name": "LANDRUM",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-223-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "NJ",
            "license": "ML0431572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sidra Haque, DO
• Joey Harmon
• Robert J Harowitz, MD ANESTHESIOLOGIST
• Harrison Township Fire District
• Harrison Township School District
• Suemair Hassan, DO
• Wesley Sharan Heal, DO
• Sarah Hegeman, PHARMD
• Julianna Heider
• Tyler Hellmig, DO

• Optometrist in Mullica Hill, NJ
• Providers in Mullica Hill, NJ by specialty
• Optometrist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.