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NPI Code Detail

MEDICARE: DR. DAWN LYNN HARMS O.D.

MEDICARE: DR. DAWN LYNN HARMS 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
1152W00000XOptometrist214AK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1790814622
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAWN LYNN HARMS O.D.
Provider Business Mailing Address
First Line : PO BOX 772266
Second Line :
City : EAGLE RIVER
State : AK
Zip : 99577-2266
Country : US
Telephone Number : 907-622-0835
Fax Number :
Provider Business Practice Location Address
First Line : 13401 OLD GLENN HWY
Second Line : SUITE B
City : EAGLE RIVER
State : AK
Zip : 99577-7565
Country : US
Telephone Number : 907-622-0835
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 05/19/2020

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