MEDICARE: DR. JEFFREY LIONEL HARRIS O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	046.010373	IL

General Provider Information

NPI Number	:	1194031484
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEFFREY LIONEL HARRIS O.D.

Provider Business Mailing Address
First Line	:	9 S LINCOLNWAY
Second Line	:
City	:	NORTH AURORA
State	:	IL
Zip	:	60542-1608
Country	:	US
Telephone Number	:	630-844-2500
Fax Number	:	630-844-2500

Provider Business Practice Location Address
First Line	:	9 S LINCOLNWAY
Second Line	:
City	:	NORTH AURORA
State	:	IL
Zip	:	60542-1608
Country	:	US
Telephone Number	:	630-844-2500
Fax Number	:	630-844-2500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/24/2010
Last Update Date	:	12/02/2025

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