DR. KEVIN RUSSELL HARRIS (O.D.) – Optometrist, NPI 1194863183

DR. KEVIN RUSSELL HARRIS (O.D.) is a healthcare provider. based in Decatur, Alabama. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. S813 TA107 (AL). The NPI Number for DR. KEVIN RUSSELL HARRIS (O.D.) is 1194863183

Main info

Male
31 Years Of Experience
Name
DR. KEVIN RUSSELL HARRIS (O.D.)
NPI
1194863183
Phone
(256) 350-6655
Address
2620 CENTRON DR SW
Enumeration Date
2 February 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Secondary Phone
2563506655
Graduation Year
1995 (31 years ago)
PAC ID
2668657784
Group Practice PAC ID
4082733258
Professional Enrollment ID
I20110504000514
Address ID
AL356032500DE2620XSWXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

619 OPTOMETRY in AL

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Provider Addresses for DR. KEVIN RUSSELL HARRIS (O.D.)

  • 2620, Centron Drive Southwest, Decatur, Morgan County, Alabama, 35603, United States

    DECATUR, AL 356032500

    Phone: (256) 350-6655

    Fax: (256) 350-2548

    Type: Location

  • 1641, Byrd Road Southeast, Hartselle, Morgan County, Alabama, 35640, United States

    HARTSELLE, AL 356405907

    Phone: (256) 751-1125

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $184.

Total Amount is formed as General ($184) + Research ($0) + Ownership ($0) = $184.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Johnson & Johnson Vision Care, Inc. ($106).

Total Amount

$184

General + Research + Ownership

Payments

6

Total payment records

General Amount

$184

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-05-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110504000514IOptometryALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system159158$0
99213Established patient office or other outpatient visit, 20-29 minutes7571$0
99214Established patient office or other outpatient visit, 30-39 minutes6464$0
99212Established patient office or other outpatient visit, 10-19 minutes4035$0
92133Imaging of optic nerve3636$0
View full utilization report →

Insurance plans in this area (ZIP 35603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082733258View full group profile
NameSpecialtyState
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL
O P T O M E T R YAL
-TX
O P T O M E T R YAL
O P T O M E T R YAL

Reviews

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Frequently asked questions

What identifier follows DR. KEVIN RUSSELL HARRIS (O.D.) across health systems?
The NPI 1194863183 uniquely identifies DR. KEVIN RUSSELL HARRIS (O.D.) in U.S. healthcare data.
Is DR. KEVIN RUSSELL HARRIS (O.D.)'s NPI status active today?
Active status means DR. KEVIN RUSSELL HARRIS (O.D.)'s NPI record is not deactivated in the public file.
What services align with DR. KEVIN RUSSELL HARRIS (O.D.)'s listing?
DR. KEVIN RUSSELL HARRIS (O.D.)'s public classification highlights Optometrist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KEVIN RUSSELL HARRIS (O.D.)?
DR. KEVIN RUSSELL HARRIS (O.D.) is associated with Decatur, Alabama in the same public data insurers reference.
Why is information missing for DR. KEVIN RUSSELL HARRIS (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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