Kimberley Renee Barnes, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4849/T1714 Issued in OH

Practice address

212 E Wyandot Ave
Upper Sandusky, OH 43351-1432

Phone

(419) 294-2421

Fax

(419) 294-2499

NPI assigned

Nov 16, 2005

Last updated

Aug 21, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Dec 2, 2012 through Dec 2, 2026

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Barnes Eyecare Inc

  • Optometrist
  • Tiffin, OH
  • NPI 1750610887
  NPD (past) Authorized official
• Knapp Eyecare Center, Inc

  dba Knapp Eyecre4 Center

  • Optometrist
  • Upper Sandsky, OH
  • NPI 1265443907
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219276800000",
    "number": "1003898925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 540",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433510540",
            "telephone_number": "419-294-2421",
            "fax_number": "419-294-2499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 E WYANDOT AVE",
            "city": "UPPER SANDUSKY",
            "state": "OH",
            "postal_code": "433511432",
            "telephone_number": "419-294-2421",
            "fax_number": "419-294-2499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "KIMBERLEY",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2008-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4849/T1714",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2472837",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony J Arnold O D LLC
• Anthony J. Arnold, O.D.
• Backsmith LLC
• Megan Bair, CNM
• David A Balz, PA-C
• Robert L Barrett, M.D.
• Bay View Inpatient Services LLC
• Claude T Beitler, DDS
• Claude Theodore Beitler III, PAC
• Kara Bender

• Optometrist in Upper Sandusky, OH
• Providers in Upper Sandusky, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.