Paul Daniel Barry, O.D.
Individual provider Active NPI Optometrist · Frisco, CO
NPI 1033438692 · NPPES record last updated May 21, 2010
Key facts
- NPI
- 1033438692
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 1498 (CO)
- Practice address
- 842 N. Summit Blvd.
#28
Frisco, CO 80443 - Phone
- (970) 668-0122
- Fax
- (970) 668-0639
- NPI assigned
- May 21, 2010
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1498 | CO | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1498 | CO | Yes |
Addresses
Primary practice location
842 N. Summit Blvd.
#28
Frisco, CO 80443
Mailing address
842 North Summit Blvd.
#28
Frisco, CO 80443
Phone (970) 668-0122
Other providers in Frisco, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 21, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.