Edward K. Harver, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT 5688 Issued in CA

Practice address

4502 Bonita Rd
Bonita, CA 91902-1427

Phone

(619) 479-7334

Fax

(619) 475-3456

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1972683191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4502 BONITA RD",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021427",
            "telephone_number": "619-479-7334",
            "fax_number": "619-475-3456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4502 BONITA RD",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919021427",
            "telephone_number": "619-479-7334",
            "fax_number": "619-475-3456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARVER",
        "first_name": "EDWARD",
        "middle_name": "K.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 5688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD 0056880",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Graceful Cottage Living
• Gregory Davis DDS Inc.
• Grossmont Hospital Corporation
• Erin Elizabeth Hardiman
• Jacqueline Haro, O.D.
• Harold Harver, D.C.
• Sandhya Hegde, DDS
• Francisco Antonio Hernandez, MD
• Roberta Hernandez
• Sarah Herrera, MD

• Optometrist in Bonita, CA
• Providers in Bonita, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.