DR. ERIC RYAN HARRIS (NPI# 1043591365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043591365 |
| Entity Type | Individual |
| Full Name | DR. ERIC RYAN HARRIS |
| Credential | OD |
| Practice Address |
4901 Forest Park Ave 6th Fl Saint Louis MO 63108-1495 |
| Mailing Address |
660 S Euclid Ave Cb 8096 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143623937 |
| Practice Fax Number | 3143623725 |
| Mailing Telephone | 3143623937 |
| Mailing Fax Number | 3143623725 |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2019-07-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2018014709 | MO | Eye and Vision Services Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2650 Holcomb Bridge Rd Ste 510, Alpharetta, GA 30022 | 3147032466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407402290 | Eric Wotari Harris | Technician | 2128 35th Avenue North, Birmingham, AL 35207 | 2019-08-16 |
| 1669035549 | Eric Darmonique Harris | Contractor | 1801 Geffert Dr, Henrico, VA 23231-3924 | 2019-04-17 |
| 1396235503 | Eric A Harris | Psychologist | 138 Bedford Rd, Lincoln, MA 01773-2707 | 2018-05-14 |
| 1851708796 | Eric Harris | Dentist | 2792 S 5600 W Ste 100, West Valley, UT 84120-5590 | 2014-07-11 |
| 1750637369 | Eric Juan Harris Jr. | Counselor | 1900 Downing St, Oklahoma City, OK 73120-4906 | 2012-08-01 |
| 1487965158 | Eric Steven Harris | Dentist | 1619 Gilmer Ave, Tallassee, AL 36078-2313 | 2010-06-28 |
| 1972718823 | Eric Joseph Harris | Dentist | 20261 E. Ocotillo Road, Suite 120, Queen Creek, AZ 85242 | 2007-05-14 |
| 1053931840 | Eric Vincent Harris | Student in an Organized Health Care Education/Training Program | 1921 Stonecipher Dr, Ada, OK 74820-3439 | 2020-04-21 |
| 1568006450 | Eric Sam Harris | Behavioral Analyst | 4250 E. Florian Ave, Building 1 and 2, Mesa, AZ 85206 | 2019-11-04 |
| 1033409628 | Eric Harris | Nurse Practitioner | 6611 Clyo Rd, Centerville, OH 45459-2786 | 2011-04-15 |
| Street Address |
4901 FOREST PARK AVE 6TH FL |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63108-1495 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467455964 | Edmond S Weisbart | Internal Medicine | 4901 Forest Park Ave, Wohl Clinic Ste 241, Saint Louis, MO 63108-1402 | 2005-05-27 |
| 1912523788 | Julie Nicole Milton | Student in an Organized Health Care Education/Training Program | 4901 Forest Park Ave, Saint Louis, MO 63108-1495 | 2020-06-17 |
| 1881153815 | Tiffany Rochelle Anzalone | Nurse Practitioner | 4901 Forest Park Ave, Ste 420, Saint Louis, MO 63108-1495 | 2019-03-19 |
| 1366962201 | Scott Andrew Skillington | Otolaryngology | 4901 Forest Park Ave, Saint Louis, MO 63108-1402 | 2017-06-21 |
| 1366962417 | Amaad Bashir Rana | Internal Medicine | 4901 Forest Park Ave, Ste 241, Saint Louis, MO 63108-1495 | 2017-06-20 |
| 1285087601 | Aisling Elizabeth Doyle | Internal Medicine | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-07-20 |
| 1255784930 | Brandt Thomas Lydon | Internal Medicine | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-07-19 |
| 1992155949 | Joseph Cataquiz Rimando | Internal Medicine | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-06-20 |
| 1104276336 | Shakthi Tapasya Bhaskar | General Practice | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-06-19 |
| 1508216805 | Adam Nicholas Lick | General Practice | 4901 Forest Park Ave, Ste 241, Ms 90-75-555, Saint Louis, MO 63108-1495 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346851474 | Nigel Austen Thomas Cook | Social Worker | 4050 West Pine Blvd. Apt. 4118, St. Louis, MO 63108 | 2020-08-12 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1609414358 | Kaylee Breitenbucher | Occupational Therapist | 4444 Forest Park Avenue, Msc 8505-94-01, St. Louis, MO 63108 | 2019-12-12 |
| 1114419546 | Activangels Home Health | Home Health | 4625 Lindell Blvd Ste 304, Saint Louis, MO 63108 | 2018-06-01 |
| 1215427349 | Heart To Heart Consolidated Home Care Service LLC | Home Health | 4625 Lindell Blvd Ste 200, Saint Louis, MO 63108 | 2018-05-15 |
| 1447755905 | Erin Virginia Adams | Student in an Organized Health Care Education/Training Program | 4355 Maryland Ave Apt 116, Saint Louis, MO 63108 | 2018-03-27 |
| 1033621172 | Roots Healthcare and Homes | In Home Supportive Care | 4300 Enright Ave, St. Louis, MO 63108 | 2017-10-30 |
| 1336661719 | House of Destiny Adult Day Care LLC | Clinic/Center | 4507 Olive Street, St Louis, MO 63108 | 2017-07-07 |
| 1003338492 | Khin Min Thu | Social Worker | 4236 Lindell Blvd., Suite 200, St Louis, MO 63108 | 2017-07-07 |
| 1679093967 | Together We Can Home Healthcare Services LLC | Home Health | 4144 Lindell Blvd Suite 221, Saint Louis, MO 63108 | 2017-06-27 |
| Find all providers in zip 63108 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194379115 | Zhenzhen Gao | Optometrist | 4531 Mcpherson Ave Apt 203, Saint Louis, MO 63108-1959 | 2019-07-29 |
| 1114579554 | Naba Razi Khan | Optometrist | 9924 Kennerly Rd, Saint Louis, MO 63128-2704 | 2019-07-16 |
| 1164083143 | Sara Taylor | Optometrist | 522 N New Ballas Rd Ste 113, Saint Louis, MO 63141-6820 | 2019-06-21 |
| 1891358115 | Essential Eyecare, LLC | Optometrist | 7256 Pershing Ave Unit B, Saint Louis, MO 63130-4248 | 2019-04-22 |
| 1720517386 | Morgan Rebecca Poore | Optometrist | 555 N New Ballas Rd Ste 310, Saint Louis, MO 63141-6896 | 2017-06-07 |
| 1699157735 | Katherine Gettinger | Optometrist | 28 Maryland Plz, Saint Louis, MO 63108-1526 | 2015-06-25 |
| 1083096523 | Courtney Anne Stehlin | Optometrist | 122 S County Center Way, Saint Louis, MO 63129-1092 | 2015-06-21 |
| 1861836777 | Clarkson Optometry Inc | Optometrist | 3192 S Grand Blvd, Saint Louis, MO 63118-1025 | 2013-04-22 |
| 1790026540 | Clarkson Optometry Inc | Optometrist | 5632 Telegraph Rd # A, Saint Louis, MO 63129-4243 | 2013-03-04 |
| 1538423769 | Mark Alan Wilkins | Optometrist | 5632 Telegraph Rd, Suite A, Saint Louis, MO 63129-4243 | 2012-07-03 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63108 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.