Provider Demographics
NPI:1447254289
Name:HARPER, JAMES SEAN (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:SEAN
Last Name:HARPER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1239 CONCORD RD SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-4310
Mailing Address - Country:US
Mailing Address - Phone:770-435-4457
Mailing Address - Fax:770-435-4555
Practice Address - Street 1:1239 CONCORD RD SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-4310
Practice Address - Country:US
Practice Address - Phone:770-435-4457
Practice Address - Fax:770-435-4555
Is Sole Proprietor?:No
Enumeration Date:2005-06-09
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA1791152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA2200015OtherUNITED HEALTHCARE
GA2241104OtherAETNA
GA1066912OtherAMERIGROUP
GA868727OtherBCBS
GA22087OtherOPTICARE
GA2241104OtherAETNA US HEALTHCARE
GA00847602AMedicaid
GAU77004Medicare UPIN
GA41ZCDNPMedicare PIN
GA22087OtherOPTICARE