Provider Demographics
NPI:1194751636
Name:HARONE, PA
Entity type:Organization
Organization Name:HARONE, PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP
Authorized Official - Prefix:DR
Authorized Official - First Name:KEVIN
Authorized Official - Middle Name:B
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:713-984-9144
Mailing Address - Street 1:700 TOWN AND COUNTRY BLVD
Mailing Address - Street 2:SUITE 2460
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-3939
Mailing Address - Country:US
Mailing Address - Phone:713-984-9144
Mailing Address - Fax:713-461-9858
Practice Address - Street 1:700 TOWN AND COUNTRY BLVD
Practice Address - Street 2:SUITE 2460
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-3939
Practice Address - Country:US
Practice Address - Phone:713-984-9144
Practice Address - Fax:713-461-9858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-25
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX4554350001Medicare NSC