Harris Family Eye Care

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC5202 Issued in FL

Legal business name

HARRIS FAMILY EYE CARE

Doing business as

Coastal Vision Care
Harris Family Eye Care

Practice address

2186 Harris Ave NE Ste 1
Palm Bay, FL 32905-4044

Phone

(321) 724-2020

Fax

(321) 724-9088

NPI assigned

Jan 10, 2018

Organization subpart

No

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

Authorized official

Name

Brian Harris, ODNPI 1831547157

Title

Ceo/OD

Phone

(321) 724-2020

Specialties & licenses 3

Addresses

Other names 2

• Coastal Vision Care Doing business as
• Harris Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Brian Harris, O.D.

  • Optometrist
  • Palm Bay, FL
  • NPI 1831547157
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1861909988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11304 SW BARTON WAY",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349872789",
            "telephone_number": "908-304-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 HARRIS AVE NE STE 1",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329054044",
            "telephone_number": "321-724-2020",
            "fax_number": "321-724-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRIS FAMILY EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CEO/OD",
        "authorized_official_telephone_number": "321-724-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC5202",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC5202",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC5202",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Vision Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Harris Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Winston Hardison Jr., RN
• Gary Joseph Hardoon, M.D.
• Mariah Paige Hardy, APRN
• Melissa J Hardy, MASTERS OF EDUCATION
• Deborah Harp-Coaston
• Brian Harris, O.D.
• Conetia Harris
• Trevon Harrison
• Trevor Harshfield
• Maria Teresa Hartwigs, COTAL

• Optometrist in Palm Bay, FL
• Providers in Palm Bay, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.