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Berry Allen Harris, OD

Optometrist in Danville, IL. Individual provider (NPI-1).

NPI number1437200516
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1437200516
Entity type
Individual (NPI-1)
Name
Berry Allen Harris
Credential
OD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 15, 2007
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist046-8471ILYes

Practice location

2807 N Vermilion St Ste 4
Danville, IL 61832-1444

Phone 217-446-5554 · Fax 217-446-5554

Mailing address

5184 N 15th St
Terre Haute, IN 47805-1639

Phone 812-466-9130 · Fax 217-446-5554

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