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Mr. Jeffrey Alan Harris, LDO
Optician in Baltimore, Ohio
NPI 1215058961

Jeffrey Alan Harris is a Optician based in Baltimore, OH and is specialized in Optician. Jeffrey Alan Harris practices in Baltimore, OH and has the professional credentials of LDO. The NPI Number for Jeffrey Alan Harris is 1215058961 and holds a License No. 967S (Ohio).

The current practice location address for Jeffrey Alan Harris is 220 N Basil St, Baltimore, OH and can be reached out via phone at 740-862-8381.

Location: 220 N Basil St, Baltimore, OH, 43105-1004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215058961
Provider Name
Jeffrey Alan Harris
Credential
LDO
Provider Entity Type
Individual
Gender
Male
Address
220 N Basil St, Baltimore, OH, 43105-1004
Phone Number
740-862-8381
Fax Number
Provider Enumeration Date
04/02/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0603421 05 OH
institution
Provider Business Practice Location Address Details
Address
220 N Basil St
City
Baltimore
State
Ohio
Zip
43105-1004
Phone Number
740-862-8381
Fax Number
person
Provider Business Mailing Address Details
Address
220 N Basil St
City
Baltimore
State
Ohio
Zip
43105-1004
Phone Number
740-862-8381
Fax Number
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
156FX1800X
License No.
967S (Ohio)
Definition
Definition to come...
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