Physician Compare National (NPI:1598883415)

HEALTHCARE PROVIDER: DWAYNE E. HARRIS O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1598883415
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	0749355675
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080812000529
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HARRIS
	Individual professional last name
Provider First Name	DWAYNE
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	PENNSYLVANIA COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1992
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1450 W O EZELL BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 600
	Group Practice or individual's line 2 address
City	SPARTANBURG
	Group Practice or individual's city
State	SC
	Group Practice or individual's state
Zip Code	293011500
	Group Practice or individual's zip code (9 digits when available)
Phone Number	8465872021
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y