Pharris, Michael G
Pharris, Michael G is an individual health care provider with primary practice located at 2857 E Fountain Blvd , Colorado Springs CO 80910-2312. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Pediatrics, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Pediatrics is his primary health care specialty. Pharris, Michael G can be contacted via phone (719) 329-1221.Contact Information
Primary practice address
2857 E Fountain Blvd
Colorado Springs CO 80910-2312
Phone: (719) 329-1221
Fax: (719) 329-1511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1462 | Colorado |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1462 | Colorado |
Profile Details
| NPI number | 1497828776 |
|---|---|
| LBN Legal business name | Pharris, Michael G |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Oct 20th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497828776 | NPPES |
| Colorado | MEDICAID | 21351821 | |
| Colorado | MEDICAID | 08014623 |
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