Individual provider Active NPI

Laura L Harris, MD

  • Ophthalmology Physician
  • Wilmington, NC
National Provider Identifier
1972501260
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
98-00891 Issued in NC
Practice address
1135 Military Cutoff Rd
Suite 201
Wilmington, NC 28405-3966
Phone
(910) 256-4899
NPI assigned
Jul 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 98-00891 NC Primary

Addresses

Primary practice location

1135 Military Cutoff Rd
Suite 201
Wilmington, NC 28405-3966

Mailing address

1135 Military Cutoff Rd
Suite 201
Wilmington, NC 28405-3966
Phone (910) 256-4899

Other identifiers 2

IdentifierTypeStateIssuer
1096QOtherBCBS
791096QMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080602000455 NC Practitioner - Ophthalmology 0042308009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
98-00891NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Eye Clinic PA Ophthalmology Past Accepting new patients
Cataract Consultants PA Ophthalmology PastSince Feb 15, 2008 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: harris@cataractconsult.emadirect.md

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": "1121040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1972501260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 MILITARY CUTOFF RD",
            "address_2": "SUITE 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053966",
            "telephone_number": "910-256-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 MILITARY CUTOFF RD",
            "address_2": "SUITE 201",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284053966",
            "telephone_number": "910-256-4899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-11",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "98-00891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1096Q",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "791096Q",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.