CLARENCE M HARRIS (NPI# 1275598526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275598526 |
| Entity Type | Individual |
| Full Name | CLARENCE M HARRIS |
| Credential | MD |
| Practice Address |
2023 Professional Center Drive Orange Park FL 32073 |
| Practice Telephone | 9042722020 |
| Practice Fax Number | 9042764386 |
| Mailing Telephone | 9042722020 |
| Mailing Fax Number | 9042764386 |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2007-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | ME0015120 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CIGNA | 1635739001 | 01 |
| FL | BCBS | 10075 | 01 |
| FL | AETNA | 4047763 | 01 |
| FL | RAILROAD MEDICARE | CB1273 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942624150 | Clarence Harris | Social Worker | 1861 Anmore Xing Nw, Kennesaw, GA 30152-4261 | 2014-02-07 |
| 1477061653 | Clarence Harris | Counselor | 313 W Main St, Mc Arthur, OH 45651-1014 | 2018-01-22 |
| 1407101652 | Clarence Van Harris Jr. | Case Manager/Care Coordinator | 40015 Sierra Hwy, Palmdale, CA 93550-2101 | 2012-07-13 |
| Street Address |
2023 PROFESSIONAL CENTER DRIVE |
| City | ORANGE PARK |
| State | FL |
| Zip Code | 32073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801850839 | Melanie C Javier | Optometrist | 2023 Professional Center Drive, Orange Park, FL 32073 | 2006-04-14 |
| 1891750139 | John D Wilcox Jr. | Ophthalmology | 2023 Professional Center Drive, Orange Park, FL 32073 | 2006-04-19 |
| 1508821844 | John P Donovan | Ophthalmology | 2023 Professional Center Drive, Orange Park, FL 32073 | 2006-04-19 |
| 1588629828 | David A Green | Optometrist | 2023 Professional Center Drive, Orange Park, FL 32073 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309423 | Kingsley Endoscopy Center LLC | Clinic/Center | 970 Kingsley Avenue, Orange Park, FL 32073 | 2020-09-01 |
| 1962028688 | Esra Sari | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue., Orange Park Medical Center, Orange Park, FL 32073 | 2020-06-18 |
| 1104441146 | Zeshan Tariq Malik | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue, Office of Graduate Medical Educa, Orange Park, FL 32073 | 2020-06-16 |
| 1902421894 | Ameer Hamza | Student in an Organized Health Care Education/Training Program | 2001, Kingsley Avenue Office of Graduate Medical Educat, Orange Park, FL 32073 | 2020-06-16 |
| 1497378103 | Fawad Ahmed Rashid | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Avenue Office of Graduate Medical Educati, Orange Park, FL 32073 | 2020-05-28 |
| 1477174985 | Hannan Asghar | Student in an Organized Health Care Education/Training Program | Office of Graduate Medical Education 2001 Kingsley, Orange Park, FL 32073 | 2020-05-06 |
| 1902427156 | Emmanuel Iyanuloluwa Morakinyo | Student in an Organized Health Care Education/Training Program | 413 Deer View Avenue, 2001 Kingsley Ave, Orange Park, FL 32073 | 2020-04-29 |
| 1437799327 | Dalande Leger | Behavior Technician | 1563 Kingsley Ave Suite 103, Orange Park, FL 32073 | 2020-01-08 |
| 1215598313 | Mohammad Harisullah Khan | Student in an Organized Health Care Education/Training Program | 2001 Kingsley Ave, Gme Office, Orange Park, FL 32073 | 2019-06-28 |
| 1558927970 | Preetha Kamath | Student in an Organized Health Care Education/Training Program | Orange Park Medical Center, 2001 Kingsley Ave, Orange Park, FL 32073 | 2019-05-10 |
| Find all providers in zip 32073 | ||||
| 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 |
|---|---|---|---|---|
| 1588777833 | Donald M Downer | Ophthalmology | 2023 Professional Dr., Orange Park, FL 32073-4468 | 2006-08-17 |
| 1659357010 | David W Hayes | Ophthalmology | 2023 Professional Center Dr, Orange Park, FL 32073-4472 | 2005-12-19 |
| 1750774634 | John Robert Bullock | Ophthalmology | 2023 Professional Center Dr, Orange Park, FL 32073-4472 | 2015-03-16 |
| 1891887394 | Russell Anthony Pecoraro | Ophthalmology | 2023 Professional Center Dr, Orange Park, FL 32073-4468 | 2006-09-29 |
| 1891750139 | John D Wilcox Jr. | Ophthalmology | 2023 Professional Center Drive, Orange Park, FL 32073 | 2006-04-19 |
| 1508821844 | John P Donovan | Ophthalmology | 2023 Professional Center Drive, Orange Park, FL 32073 | 2006-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888353 | Jonathan M Frantz, Md Pa | Ophthalmology | 18500 Veterans Blvd Unit 4, Port Charlotte, FL 33954-1035 | 2020-10-15 |
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1770191231 | Eyerad, Pllc | Ophthalmology | 6280 W Sample Road #202, Coral Springs, FL 33067-3173 | 2020-07-21 |
| 1609494566 | Eye Specialists of Mid Florida, Pa | Ophthalmology | 3350 Harden Blvd, Lakeland, FL 33803-7939 | 2020-07-08 |
| 1811511207 | Tampa Bay Ophthalmic Plastics LLC | Ophthalmology | 2963 Gulf To Bay Blvd, Ste 267, Clearwater, FL 33759-4259 | 2020-06-02 |
| 1841819166 | St. Lucie Eye Associates, M.d. P.a. | Ophthalmology | 1715 S.e Tiffany Ave., Port St. Lucie, FL 34952-7511 | 2020-04-16 |
| 1477172708 | St. Lucie Eye Associates, M.d., P.a. | Ophthalmology | 1302 S.w. St. Lucie West Blvd., Port St. Lucie, FL 34986-2109 | 2020-04-16 |
| 1598393142 | Samuel Richard Bierstock | Ophthalmology | 417 Palm Trail, Delray Beach, FL 33483 | 2020-03-30 |
| 1144858721 | Citrus Eye Care, Pa | Ophthalmology | 10549 Deerberry Dr, Land O Lakes, FL 34638-6948 | 2020-03-30 |
| 1922632066 | St Cloud Eye Center Inc | Ophthalmology | 4589 Henry C Yates Lane, Saint Cloud, FL 34769-3476 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
| City | ORANGE PARK |
| Zip Code | 32073 |
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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.