MEDICARE: HARMON'S OPTICIANS, INC.

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	156FX1800X	Optician	227	SC

General Provider Information

NPI Number	:	1407076730
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMON'S OPTICIANS, INC.

Provider Business Mailing Address
First Line	:	2720 WADE HAMPTON BLVD.
Second Line	:	SUITE B
City	:	GREENVILLE
State	:	SC
Zip	:	29615
Country	:	US
Telephone Number	:	864-268-4335
Fax Number	:	864-268-3868

Provider Business Practice Location Address
First Line	:	2720 WADE HAMPTON BLVD.
Second Line	:	SUITE B
City	:	GREENVILLE
State	:	SC
Zip	:	29615
Country	:	US
Telephone Number	:	864-268-4335
Fax Number	:	864-268-3868

Authorized Official
Title or Position	:	OPTICIAN PRESIDENT
Name	:	DAVID JEROME HARMON
Credential	:	D.O.
Telephone Number	:	864-268-4335

Provider Enumeration Date	:	04/27/2007
Last Update Date	:	03/05/2008

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