Individual provider Active NPI

Barry Harris, O.D.

  • Optometrist
  • Paragould, AR
National Provider Identifier
1912911645
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2310 Issued in AR
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

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
496207933OtherARMEDICARE ID-UNSPECIFIED
P00146489OtherARRAILROAD MEDICARE
102580722MedicaidAR

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

LicenseStateTypeSpecialty
2310ARMDOccupational Therapist
2110ARMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Barry L Harris, OD, PA Optometrist CurrentSince Aug 1, 2013 Accepting new patients
Southern Eye Associates LTD Optometrist PastSince Mar 19, 2007 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.

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.

Verify at the official NPI Registry.