Active NPI
Barry Harris, O.D.
- Optometrist
- Paragould, AR
National Provider Identifier
1912911645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2310
- Practice address
- 901 Linwood Dr
Paragould, AR 72450-4854 - Phone
- (870) 239-2251
- Fax
- (870) 239-6017
- NPI assigned
- Jul 28, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 2310 | AR | Primary |
Addresses
Primary practice location
901 Linwood Dr
Paragould, AR 72450-4854
Mailing address
901 Linwood Dr
Paragould, AR 72450-4854
Phone (870) 239-2251
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 496207933 | Other | AR | MEDICARE ID-UNSPECIFIED |
| P00146489 | Other | AR | RAILROAD MEDICARE |
| 102580722 | Medicaid | AR |
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 |
|---|---|---|---|
| 2310 | AR | MD | Occupational Therapist |
| 2110 | AR | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barry L Harris, OD, PA | Optometrist | Current | Accepting new patients |
| Southern Eye Associates LTD | Optometrist | Past | Accepting new patients |
Locations
901 Linwood Dr
Paragould, AR 72450
Phone (870) 239-2251
Organizations & group practices 2
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.
-
- Optometrist
- Paragould, AR
- NPI 1922430792
-
- Optometrist
- Paragould, AR
- NPI 1750478186
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1912911645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 LINWOOD DR",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724504854",
"telephone_number": "870-239-2251",
"fax_number": "870-239-6017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 LINWOOD DR",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724504854",
"telephone_number": "870-239-2251",
"fax_number": "870-239-6017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "BARRY",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-28",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "AR",
"license": "2310",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID-UNSPECIFIED",
"identifier": "496207933",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00146489",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102580722",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.