Healthcare Provider Details

I. General information

NPI: 1437048824
Provider Name (Legal Business Name): RACHEL KAY HARMON OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL KAY GENSAMER

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 WALL ST
ANN ARBOR MI
48105-1912
US

IV. Provider business mailing address

3621 S STATE ST
ANN ARBOR MI
48108-1633
US

V. Phone/Fax

Practice location:
  • Phone: 734-764-4190
  • Fax:
Mailing address:
  • Phone: 517-647-5299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901005947
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number36057
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: