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HARRY M SULZBERGER O.D., NPI 1104828375

Optometrist in COLUMBIA, MO

Last Updated on : Oct 31,2007

About HARRY M SULZBERGER (NPI 1104828375)


HARRY M SULZBERGER is an Optometrist provider in COLUMBIA, United States. His medical specialization is Optometrist .

1104828375 is NPI number of HARRY M SULZBERGER.

HARRY M SULZBERGER's primary taxonomy code based on NPI Lookup is 152W00000X with license number T02082. This taxonomy code refers to Optometrist.

HARRY M SULZBERGER has more than 16 years of experience.

HARRY M SULZBERGER current practice location address is 500 KEENE ST, COLUMBIA, MO. HARRY M SULZBERGER can be reached out via phone at 573-874-2030 and via fax at 573-449-0253 .

You can also correspond with HARRY M SULZBERGER through mail at mailing address 500 KEENE ST, COLUMBIA, MO, United States. Mailing address contact number is 573-874-2030.

The enumeration date of HARRY M SULZBERGER is 01-Jun-2005. The provider is registered as an Individual and the NPI record was last updated 15 years ago.

1104828375 NPI Information

Name HARRY M SULZBERGER
National Provider Id (NPI) 1104828375
Entity Type Individual
Gender M
Credential O.D.
Practice Address 500 KEENE ST, STE 103
COLUMBIA, MO, United States
Practice Telephone 573-874-2030
Practice Fax Number 573-449-0253
Mailing Address 500 KEENE ST , STE 103
COLUMBIA, MO, United States
Mailing Telephone 573-874-2030
Mailing Fax Number 573-449-0253
Enumeration Date 01-Jun-2005
Last Updated Date 31-Oct-2007

HARRY M SULZBERGER (NPI 1104828375) Primary Taxonomy Information

Primary Taxonomy Code Clasification License Number License State
Y 152W00000X Optometrist T02082 MO

Additional Identifiers

Identifier Type/Code Identifier State Identifier Issuer
000006261 MEDICARE ID-Type Unspecified (04) MO Medicare
0270770001 Other (non-Medicare) (01) MO Noridian-DMERC
108476 Other (non-Medicare) (01) MO BC/BS
311305718 MEDICAID (05) MO
410032613 Other (non-Medicare) (01) MO Railroad Medicare
T42565 MEDICARE UPIN (02) MO

HARRY M SULZBERGER (NPI 1104828375) Office Location

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FAQs

Whose NPI Number is 1104828375?

1104828375 is the NPI number of HARRY M SULZBERGER.

What is the specialty for HARRY M SULZBERGER?

The Specialty of HARRY M SULZBERGER is Optometrist.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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