DR. JUDSON LEE HARRISON O.D.
Complete NPI Record 1649838764
Optometrist in Warrior, AL
Active since June 04, 2019PECOS EnrolledAccepts Medicare Assignment
Complete NPI Dataset
This page contains the complete raw NPPES record for Dr. Judson Lee Harrison, O.D. (NPI 1649838764), an individual optometrist provider in Warrior, AL. All 28 fields on file are listed with their current values and official NPPES definitions, exactly as recorded in the National Plan and Provider Enumeration System. Only fields that contain data are included, so the number of fields shown varies from one NPI record to another.
Use the tools below to filter fields by category, search within the record, or jump straight to a specific field. You can download the full record as a CSV, JSON, or text file, or filter first and export only the fields you need. The Print Clean Summary button produces a printer-friendly copy of the record.
Registry File Document Utilities
- NPI: 1649838764 Field 1/28
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1 Field 2/28
- 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 Last Name Legal Name: HARRISON Field 3/28
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: JUDSON Field 4/28
- The first name of the provider, if the provider is an individual.
- Provider Middle Name: LEE Field 5/28
- The middle name of the provider, if the provider is an individual.
- Provider Name Prefix Text: DR. Field 6/28
- The name prefix or salutation of the provider if the provider is an individual; for example, Mr., Mrs., or Corporal.
- Provider Credential Text: O.D. Field 7/28
- The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
- Provider First Line Business Mailing Address: PO BOX 207243 Field 8/28
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address City Name: DALLAS Field 9/28
- The city name in the mailing address of the provider being identified.
- Provider Business Mailing Address State Name: TX Field 10/28
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Mailing Address Postal Code: 753207243 Field 11/28
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Mailing Address Country Code If outside U S : US Field 12/28
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Mailing Address Telephone Number: 6362004393 Field 13/28
- 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 First Line Business Practice Location Address: 9821 OLD HIGHWAY 31 Field 14/28
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Business Practice Location Address City Name: WARRIOR Field 15/28
- The city name in the location address of the provider being identified.
- Provider Business Practice Location Address State Name: AL Field 16/28
- The State code in the location of the provider being identified.
- Provider Business Practice Location Address Postal Code: 351801833 Field 17/28
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider Business Practice Location Address Country Code If outside U S : US Field 18/28
- The country code in the location address of the provider being identified.
- Provider Business Practice Location Address Telephone Number: 2056473937 Field 19/28
- The telephone number associated with the location address of the provider being identified.
- Provider Gender Code: M Field 22/28
- The code designating the provider's gender if the provider is a person.
- Healthcare Provider Taxonomy Code 1: 152W00000X Field 23/28
- This field represents the provider's taxonomy code, which classifies their type, classification, and area of specialization. This code comes from the Healthcare Provider Taxonomy Code Set maintained by the National Uniform Claim Committee (NUCC). The NPS will associate these data with the license data for providers with Entity type code = 1.
- Provider License Number 1: S-E23-TA-B51 Field 24/28
- The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with "provider taxonomy code".
- Provider License Number State Code 1: AL Field 25/28
- The two-letter state code representing the U.S. state or territory that issued the provider's license. This field is linked to the Provider License Number field and identifies the jurisdiction where that license is valid. A provider may have multiple state codes if they hold licenses in more than one state.
- Healthcare Provider Primary Taxonomy Switch 1: Y Field 26/28
- This field shows whether the related taxonomy code is the provider's primary specialty. It is a single-character value: "Y" indicates the taxonomy is the primary one, while "N" indicates it is not. Each provider record can have only one taxonomy code marked as primary.
- Is Sole Proprietor: N Field 27/28
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.
Secondary Practice Locations 9
The first line of the secondary practice location address of the provider being identified. For providers with more than one physical location, this is a secondary practice location address. This address cannot include a Post Office box.
800 Oxford Exchange Blvd
Location 1/9Oxford, AL 36203-3465 · Phone (256) 419-2002
10699 Old Highway 280 Unit 2
Location 2/9Chelsea, AL 35043-8221 · Phone (205) 980-4530
1825 Tin Valley Cir Ste A
Location 3/9Birmingham, AL 35235-3248 · Phone (205) 661-2020
3099 Allison Bonnett Memorial Dr
Location 4/9Hueytown, AL 35023-2261 · Phone (205) 491-8755
230 Doug Baker Blvd Ste 100
Location 5/9Hoover, AL 35242-2684 · Phone (205) 981-0103
225 State Farm Pkwy Ste 109
Location 6/9Birmingham, AL 35209-7346 · Phone (205) 942-0377
3165 Green Valley Rd
Location 7/9Vestavia, AL 35243-5262 · Phone (205) 967-2103
4500 Valleydale Rd Ste 700
Location 8/9Birmingham, AL 35242-4634 · Phone (205) 995-0700
2603 Moody Pkwy Ste 102
Location 9/9Moody, AL 35004-3063 · Phone (205) 640-2020
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