Individual provider Active NPI

Jill Marie Barker, OD

  • Optometrist
  • Cadiz, OH
National Provider Identifier
1023071123
Registry record updated Jan 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4771 Issued in OH
Practice address
143 W Market St
Cadiz, OH 43907-1106
Phone
(740) 942-4433
Fax
(740) 942-3897
NPI assigned
Apr 10, 2006
Last updated
Jan 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4771 OH Primary

Addresses

Primary practice location

143 W Market St
Cadiz, OH 43907-1106

Mailing address

207 Clarence Dr SW
New Philadelphia, OH 44663
Phone (330) 339-6070

Other identifiers 1

IdentifierTypeStateIssuer
2061478MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040224001028 OH Practitioner - Optometry 3072425511 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

143 W Market St
Cadiz, OH 43907-1106
Phone (740) 942-4433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4771OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Cadiz Vision Center LTD Optometrist CurrentSince Apr 1, 2001 Accepting new patients
Insight Vision Care, Inc. Optometrist Past Accepting new patients

Locations

515 N Wooster Ave
Dover, OH 44622
Phone (330) 343-6941

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200528000000",
    "number": "1023071123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CLARENCE DR SW",
            "city": "NEW PHILADELPHIA",
            "state": "OH",
            "postal_code": "44663",
            "telephone_number": "330-339-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 W MARKET ST",
            "city": "CADIZ",
            "state": "OH",
            "postal_code": "439071106",
            "telephone_number": "740-942-4433",
            "fax_number": "740-942-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "JILL",
        "middle_name": "MARIE",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-10",
        "last_updated": "2008-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2061478",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cadiz, OH

Sources for this page

Verify at the official NPI Registry.