Healthcare Provider Details

I. General information

NPI: 1407076730
Provider Name (Legal Business Name): HARMON'S OPTICIANS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/27/2007
Last Update Date: 03/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2720 WADE HAMPTON BLVD. SUITE B
GREENVILLE SC
29615
US

IV. Provider business mailing address

2720 WADE HAMPTON BLVD. SUITE B
GREENVILLE SC
29615
US

V. Phone/Fax

Practice location:
  • Phone: 864-268-4335
  • Fax: 864-268-3868
Mailing address:
  • Phone: 864-268-4335
  • Fax: 864-268-3868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number227
License Number StateSC

VIII. Authorized Official

Name: DAVID JEROME HARMON
Title or Position: OPTICIAN PRESIDENT
Credential: D.O.
Phone: 864-268-4335