Active NPIIndividual providerSole proprietor

Brandon P Harris, OD

Optometrist in Dorchester, Massachusetts

NPI Number1114258209
Practice location
19 Sudan St # 2, Dorchester, MA 02125-1319
Fax
—
Last updated
October 29, 2025

Brandon Patrick Harris is an Optometrist based in Dorchester, MA. Brandon Patrick Harris practices in Dorchester, MA and has the professional credentials of OD. The NPI Number for Brandon Patrick Harris is 1114258209 and holds a License No. 60186563 (WA). The current practice location address for Brandon Patrick Harris is 19 Sudan St # 2, Dorchester, MA 02125-1319 and can be reached out via phone at 360-961-6074.

Provider Profile Details

NPI Number
1114258209
Provider Name
Brandon Patrick Harris
Credential
OD
Provider Entity Type
Individual
Gender
Male
Address
19 Sudan St # 2, Dorchester, MA 02125-1319
Phone Number
360-961-6074
Primary Taxonomy
Optometrist · 152W00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 29, 2010
Last Update Date
October 29, 2025
Certification Date
October 29, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
19 Sudan St # 2
Dorchester, MA 02125-1319
Zip
02125-1319
Phone Number
360-961-6074
Dorchester, MA 02125Get directions →

Provider Business Mailing Address Details

Address
Unit 2060 Box 51ST
Apo, AP 96278-2060
City
Apo
State
AP
Zip
96278-2060

License Information

License Number (1)
60186563
License State (1)
WA
Taxonomy (1)
Optometrist · 152W00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Brandon P Harris, OD?

The NPI number of Brandon P Harris, OD is 1114258209. It was assigned on January 29, 2010 and is currently active in the NPPES registry.

What is the specialty of Brandon P Harris, OD?

Brandon P Harris, OD is registered under the primary taxonomy Optometrist (code 152W00000X), licensed in WA under license number 60186563.

Where does Brandon P Harris, OD practice?

The practice location is 19 Sudan St # 2, Dorchester, MA 02125-1319. The office can be reached at 360-961-6074 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114258209 directly on the NPPES registry website.

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