Healthcare Provider Details

I. General information

NPI: 1619276417
Provider Name (Legal Business Name): HARRON EYECARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2011
Last Update Date: 03/18/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1911 EPPS BRIDGE PKWY
ATHENS GA
30606-6130
US

IV. Provider business mailing address

211 HAMPTON PARK DR
ATHENS GA
30606-2489
US

V. Phone/Fax

Practice location:
  • Phone: 706-369-5327
  • Fax: 706-369-3952
Mailing address:
  • Phone: 706-354-4222
  • Fax: 706-355-3820

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152WC0802X
TaxonomyCorneal and Contact Management Optometrist
License Number
License Number State

VIII. Authorized Official

Name: DR. ANDREA W HARRON
Title or Position: OD
Credential: OD
Phone: 770-712-8704