Healthcare Provider Details

I. General information

NPI: 1306950431
Provider Name (Legal Business Name): DAVID M HARMAN MD LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/18/2006
Last Update Date: 06/25/2024
Certification Date: 06/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1825 GRAVES MILL RD
FOREST VA
24551-3967
US

IV. Provider business mailing address

PO BOX 45923
BALTIMORE MD
21297-5923
US

V. Phone/Fax

Practice location:
  • Phone: 434-385-5600
  • Fax: 434-385-1414
Mailing address:
  • Phone: 877-969-0392
  • Fax: 434-385-1414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

Name: AMY BURTON
Title or Position: INSURANCE MANAGER
Credential:
Phone: 434-661-7762