Provider Demographics
NPI:1306907860
Name:HARMAN, PAUL L (OD)
Entity type:Individual
Prefix:DR
First Name:PAUL
Middle Name:L
Last Name:HARMAN
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 FLEISCHMANN RD
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32308-4599
Mailing Address - Country:US
Mailing Address - Phone:850-878-6161
Mailing Address - Fax:850-656-0200
Practice Address - Street 1:2020 FLEISCHMANN RD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4599
Practice Address - Country:US
Practice Address - Phone:850-878-6161
Practice Address - Fax:850-656-0200
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2180152W00000X
GA001713152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL19635OtherBLUE CROSS BLUE SHEILD
GA00818397BMedicaid
FL078730200Medicaid
FL410037057OtherRAILROAD MEDICARE
FL410037057OtherRAILROAD MEDICARE
GA00818397BMedicaid
FL078730200Medicaid