Provider Demographics
NPI:1194936518
Name:JOHN HARMAN, OD
Entity type:Organization
Organization Name:JOHN HARMAN, OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:304-358-2585
Mailing Address - Street 1:PO BOX 640
Mailing Address - Street 2:10 NORTH MAIN ST
Mailing Address - City:FRANKLIN
Mailing Address - State:WV
Mailing Address - Zip Code:26807-0640
Mailing Address - Country:US
Mailing Address - Phone:304-358-2585
Mailing Address - Fax:304-358-7712
Practice Address - Street 1:10 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WV
Practice Address - Zip Code:26807
Practice Address - Country:US
Practice Address - Phone:304-358-2585
Practice Address - Fax:304-358-7712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV602OD152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV9158251Medicare ID - Type Unspecified
T32539Medicare UPIN