| Daniel C. Harris, O.d. | |
|
300 Countryside Dr Lebanon OH 45036-7865 | |
| (937) 681-4956 | |
| (513) 791-2938 |
| Full Name | Daniel C. Harris, O.d. |
|---|---|
| Speciality | Eyewear Supplier |
| Location | 300 Countryside Dr, Lebanon, Ohio |
| Authorized Official Name and Position | Daniel Harris (OWNER/DIRECTOR) |
| Authorized Official Contact | 5137912283 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Daniel C. Harris, O.d. 300 Countryside Dr Lebanon OH 45036-7865 Ph: (937) 681-4956 | Daniel C. Harris, O.d. 300 Countryside Dr Lebanon OH 45036-7865 Ph: (937) 681-4956 |
| NPI Number | 1710155031 |
|---|---|
| Provider Enumeration Date | 02/20/2008 |
| Last Update Date | 03/17/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710155031 | NPI | - | NPPES |
| 0896679 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 4286 (Ohio) | Secondary |
| 332H00000X | Eyewear Supplier | 4286 (Ohio) | Primary |
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