Healthcare Provider Details

I. General information

NPI: 1558478958
Provider Name (Legal Business Name): DAVID M HARMAN MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 06/21/2021
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

204 AMBRIAR PLAZA
AMHERST VA
24521
US

IV. Provider business mailing address

PO BOX 45923
BALTIMORE MD
21297-5923
US

V. Phone/Fax

Practice location:
  • Phone: 434-946-2020
  • Fax: 434-455-7172
Mailing address:
  • Phone: 877-969-0392
  • Fax: 434-455-7172

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: AMY BURTON
Title or Position: RCM MANAGER
Credential:
Phone: 434-385-5600