Timothy R Harris Od Plc

NPI #1891913414 in Davison, Michigan

Provider Information

NPI Number: 1891913414
Entity Type: Organization
Organization Name: Timothy R Harris Od Plc
Primary Specialty: Optometrist
Enumeration Date: Apr 20, 2007
Last Updated: Feb 9, 2012

Practice Location

Address: 1016 S STATE RD
City: Davison
State: Michigan
ZIP Code: 48423-1904
Phone: (810) 653-3206

Authorized Official

Name: DR. TIMOTHY RICHARD HARRIS, O.D
Title: OWNER
Phone: (810) 653-3206

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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