Barry L Harris, OD, PA
Organization Active NPI Optometrist · Paragould, AR
NPI 1922430792 · NPPES record last updated Aug 31, 2022
Key facts
- NPI
- 1922430792
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- BARRY L HARRIS, OD, PA
- Practice address
- 901 Linwood Dr
Paragould, AR 72450-4854 - Phone
- (870) 239-2251
- NPI assigned
- Aug 5, 2013
- Organization subpart
- No
Authorized official
- Name
- Matthew E Jones, OD
- Title
- Owner / Optometrist
- Phone
- (870) 623-0967
Practitioners 5
-
Frank E Button, OD
-
Barry Harris, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130830000671 | AR | Part B Supplier - Clinic/Group Practice | 6709029267 |
Receives reassigned benefits from 4 practitioners Practice locations: Paragould, AR |
| O20131004000372 | AR | DME Supplier - Physician - Optometrist | 6709029267 | Practice locations: Paragould, AR |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 496207933 | Other | MEDICARE | |
| 102580722 | Medicaid | AR | |
| P00146489 | Other | AR | RAILROAD MEDICARE |
Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 31, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.