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NPI Code Detail

MEDICARE: DR. HEIDI ANN HARRIS O.D.

MEDICARE: DR. HEIDI ANN 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
1152W00000XOptometrist4842 / T1707OH

General Provider Information

NPI Number : 1962470690
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HEIDI ANN HARRIS O.D.
Provider Business Mailing Address
First Line : 7850 DALEBROOK RD
Second Line :
City : INDEPENDENCE
State : OH
Zip : 44131-6608
Country : US
Telephone Number : 216-231-7700
Fax Number : 216-751-2480
Provider Business Practice Location Address
First Line : 13301 MILES AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-5521
Country : US
Telephone Number : 216-231-7700
Fax Number : 216-751-2480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2006
Last Update Date : 01/13/2026

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