DR. EDDIE HARRIS (NPI# 1114004959) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114004959 |
| Entity Type | Individual |
| Full Name | DR. EDDIE HARRIS |
| Practice Address |
3890 Redwine Rd Sw Suite 212 Atlanta GA 30331-5582 |
| Practice Telephone | 4043491115 |
| Practice Fax Number | 4043490141 |
| Mailing Telephone | 4043491115 |
| Mailing Fax Number | 4043490141 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2014-01-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 053235 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | BCBS | 954251 | 01 |
| GA | AETNA | 7303815 | 01 |
| GA | 139155698D | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699105593 | Eddie Harris | Counselor | 401 S Tustin St, Building D, Orange, CA 92866-2550 | 2013-11-14 |
| Street Address |
3890 REDWINE RD SW SUITE 212 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30331-5582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588659908 | Dara Paul | Specialist | 3890 Redwine Rd Sw, Ste 210, Atlanta, GA 30331-5509 | 2005-09-12 |
| 1538616305 | Marion Bianca Tyson | Physical Therapist | 3890 Redwine Rd Sw, Suite 114, Atlanta, GA 30331-5582 | 2016-09-08 |
| 1871853606 | Paddyson Chukwuka Chidi | Physical Therapist | 3890 Redwine Rd Sw, Suite 114, Atlanta, GA 30331-5582 | 2012-05-27 |
| 1447529342 | Pain Management of The South | Anesthesiology | 3890 Redwine Rd Sw, Suite 200, Atlanta, GA 30331-5582 | 2011-12-21 |
| 1487957924 | Pinnacle Diagnostic and Dme Services, LLC | Durable Medical Equipment & Medical Supplies | 3890 Redwine Rd Sw, Suite 200, Atlanta, GA 30331-5582 | 2010-12-06 |
| 1598072910 | Willis C Jenkins | Physical Therapy Assistant | 3890 Redwine Rd Sw, Suite 114, Atlanta, GA 30331-5582 | 2010-09-07 |
| 1184939456 | Accident Centers of Atlanta, LLC | Durable Medical Equipment & Medical Supplies | 3890 Redwine Rd Sw, Suite 200, Atlanta, GA 30331-5582 | 2010-08-11 |
| 1770811713 | Camp Creek Smiles Family Dentistry | Clinic/Center | 3890 Redwine Rd Sw, Ste 108, Atlanta, GA 30331-5582 | 2009-12-03 |
| 1922269612 | Camp Creek Pediatrics LLC | Clinic/Center | 3890 Redwine Rd Sw, Suite 100, Atlanta, GA 30331-5582 | 2008-06-24 |
| 1700072485 | Premier Eye Physicians PC | Clinic/Center | 3890 Redwine Rd Sw, Suite 212, Atlanta, GA 30331-5582 | 2007-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001174 | Whitney Flemister | Social Worker | 3961 Princeton Lakes Way Sw, Atlanta, GA 30331 | 2020-07-23 |
| 1982237400 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 5829 Campbellton Road, S.w, Suite 110, Atlanta, GA 30331 | 2020-02-13 |
| 1295375558 | Drusilla Precious Cudjoe | Behavior Technician | 3800 Camp Creek Parkway Sw, Building 1400, Atlanta, GA 30331 | 2020-01-14 |
| 1497262778 | Champions Pharmacy | Pharmacy | 3886 Princeton Lakes Way Suite 180, Atlanta, GA 30331 | 2018-01-08 |
| 1033629779 | Carmen Ardoin | Counselor | 2636 Martin Luther King Jr. Drive, Suite 12, Atlanta, GA 30331 | 2017-10-09 |
| 1346759974 | Neva R Allison | Nurse Practitioner | 2611 Dayview Ln, Atlanta, GA 30331 | 2017-09-26 |
| 1538678255 | Natalie Mckay | Technician/Technologist | 3915 Cascade Rd, 220, Atlanta, GA 30331 | 2017-09-26 |
| 1700304268 | Tyrone Pipkin | Contractor | 415 Kendrick Terrace Sw, Atlanta, GA 30331 | 2017-09-05 |
| 1073031688 | Kristen Wooldridge | Pharmacist | 3695 Cascade Road, Atlanta, GA 30331 | 2017-09-04 |
| 1548704687 | Advance Pain Management | Health Maintenance Organization | 2950 Stone Hogan Road Connector, Atlanta, GA 30331 | 2016-12-08 |
| Find all providers in zip 30331 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972151462 | Rahul Assa Sharma | Ophthalmology | Emory Eye Center 1365 Clifton Rd B, Atlanta, GA 30322-0001 | 2019-08-28 |
| 1821589441 | Thomas Eye Group PC | Ophthalmology | 1110 W Peachtree St Nw Ste 860, Atlanta, GA 30309-3609 | 2018-05-21 |
| 1609363878 | Patricia Anne Bentley | Ophthalmology | 4712 Polo Ln Se, Atlanta, GA 30339-5328 | 2018-04-13 |
| 1437544061 | Leonid Zlotcavitch | Ophthalmology | 800 Mount Vernon Hwy Ne Ste 125, Atlanta, GA 30328-4294 | 2015-03-31 |
| 1497147680 | Joseph Lewis Licht | Ophthalmology | 1365 Clifton Rd Ne Ste B, Atlanta, GA 30322-4701 | 2015-02-24 |
| 1558781955 | Joshua Jerrett Busscher | Ophthalmology | 1365 Clifton Rd Ne Ste 4400, Atlanta, GA 30322 | 2014-04-24 |
| 1952739153 | Joseph Citron | Ophthalmology | 1351 Paces Forest Dr Nw, Atlanta, GA 30327-2235 | 2013-10-24 |
| 1104168400 | Bruce Harlan Becker | Ophthalmology | 5365 N Powers Ferry Rd Nw, Atlanta, GA 30327-4627 | 2013-03-25 |
| 1902169345 | Southeast Eye Professionals LLC | Ophthalmology | 800 Mt Vernon Hwy Ne, Suite 120, Atlanta, GA 30328 | 2012-06-20 |
| 1003181231 | William Martin | Ophthalmology | 8 Mooregate Sq Nw, Atlanta, GA 30327-1539 | 2012-03-21 |
| Find all providers in ATLANTA | ||||
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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.