Individual provider · Type 1 NPI

Edward Earl Harris Jr., OD

Student in an Organized Health Care Education/Training Program · Northport, NY

NPI number 1609700707 Active

Practice location

79 Middleville Rd
Northport, NY 11768-2200

Call (631) 261-4400 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1609700707

Edward Earl Harris Jr., OD's National Provider Identifier is 1609700707, issued on Jun 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Northport, NY. The record was last updated on Jun 11, 2026.