Dorothy Harris

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

L8837 Issued in AR

Legal business name

DOROTHY HARRIS

Doing business as

Pine Bluff Optical Company

Practice address

3073 W 28TH Ave
Pine Bluff, AR 71603-4802

Phone

(870) 534-8184

Fax

(870) 534-8184

NPI assigned

Jan 2, 2007

Last updated

Jul 24, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faye West

Title

Manager

Phone

(870) 534-8184

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Pine Bluff Optical Company Doing business as

Locations

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216857600000",
    "number": "1972660595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 W 28TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034802",
            "telephone_number": "870-534-8184",
            "fax_number": "870-534-8184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 W 28TH AVE",
            "city": "PINE BLUFF",
            "state": "AR",
            "postal_code": "716034802",
            "telephone_number": "870-534-8184",
            "fax_number": "870-534-8184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOROTHY HARRIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-07-24",
        "status": "A",
        "authorized_official_last_name": "WEST",
        "authorized_official_first_name": "FAYE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "870-534-8184"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "AR",
            "license": "L8837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "48776",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pine Bluff Optical Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Eyewear Supplier in Pine Bluff, AR
• Providers in Pine Bluff, AR by specialty
• Eyewear Supplier in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2008; 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.