MEDICARE: DR. JAMES SEAN HARPER 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	1791	GA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2200015	OTHER	GA	UNITED HEALTHCARE
2	2241104	OTHER	GA	AETNA
3	1066912	OTHER	GA	AMERIGROUP
4	868727	OTHER	GA	BCBS
5	22087	OTHER	GA	OPTICARE
6	2241104	OTHER	GA	AETNA US HEALTHCARE
7	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447254289
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES SEAN HARPER O.D.

Provider Business Mailing Address
First Line	:	1239 CONCORD RD SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-4310
Country	:	US
Telephone Number	:	770-435-4457
Fax Number	:	770-435-4555

Provider Business Practice Location Address
First Line	:	1239 CONCORD RD SE
Second Line	:
City	:	SMYRNA
State	:	GA
Zip	:	30080-4310
Country	:	US
Telephone Number	:	770-435-4457
Fax Number	:	770-435-4555

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	01/03/2008

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