Angela Stack Harris (NPI# 1013992668, PAC ID# 5698790137) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1013992668 |
| PAC ID by PECOS | 5698790137 |
| Professional Enrollment ID | I20051027000094 |
| Full Name | Angela Stack Harris |
| Organization Legal Name | LAKE NORMAN EYE OD PA |
| Address |
548 Williamson Rd Suite 1 Mooresville NC 28117-5604 |
| Phone Number | 7047992233 |
| Gender | F |
| Credential | OD |
| Medical School | SOUTHERN COLLEGE OF OPTOMETRY |
| Graduation Year | 1995 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7012934045 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 548 Williamson Rd, Suite 1, Mooresville, NC 28117-5604 | 7047992233 | LAKE NORMAN EYE OD PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_014_overall | Age-Related Macular Degeneration (AMD): Dilated Macular Examination | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_140_overall | Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Organization Legal Name | LAKE NORMAN EYE OD PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Lynn Harlow | Optometry | Lake Norman Eye Od Pa | 548 Williamson Rd, Suite 1, Mooresville, NC 28117-5604 |
| Street Address |
548 WILLIAMSON RD SUITE 1 |
| City | MOORESVILLE |
| State | NC |
| Zip | 28117-5604 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria Lynn Harlow | Optometry | Lake Norman Eye Od Pa | 548 Williamson Rd, Suite 1, Mooresville, NC 28117-5604 |
| Ann Cowen | Nurse Practitioner | Piedmont Healthcare Pa | 548 Williamson Rd, Suite 6, Mooresville, NC 28117-9111 |
| Luanne V Gatlin | Internal Medicine | Piedmont Healthcare Pa | 548 Williamson Rd, Suite 6, Mooresville, NC 28117-9111 |
| John Gatlin | Internal Medicine | Piedmont Healthcare Pa | 548 Williamson Rd, Suite 6, Mooresville, NC 28117-9111 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven G Folstad | Emergency Medicine | Carolina Vein Associates Pllc | 206 Joe V Knox Ave H, Mooresville, NC 28117 |
| Paul C Davis | Chiropractic | 514 Williamson Rd, Suite 411, Mooresville, NC 28117-3382 | |
| Gregory Ott | Physical Therapy | Greg Otts Center for Physical Therapy and Sports Performance LLC | 156 Byers Creek Rd, Mooresville, NC 28117-4376 |
| Heather J Osborne | Physical Therapy | Greg Otts Center for Physical Therapy and Sports Performance LLC | 156 Byers Creek Rd, Mooresville, NC 28117-4376 |
| Robert C Monson Iii | Optometry | 125 Commerce Park Rd, Suite 103, Mooresville, NC 28117-4818 | |
| Nancy E Deem | Nurse Practitioner | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Monica L Webb | Physician Assistant | Mooresville Ppm LLC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Rebecca M Panuski | Family Medicine | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Bruce S Mather | Family Medicine | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Elisabeth E Stoffel | Family Medicine | Holston Medical Group PC | 123 Professional Park Dr, Suite 200, Mooresville, NC 28117-5519 |
| Find all physicians in zip 28117 | |||
| City | MOORESVILLE |
| Zip Code | 28117 |
| Specialty | OPTOMETRY |
| City + Specialty | MOORESVILLE + OPTOMETRY |
Please comment or provide details below to improve the information on Angela Stack Harris.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.