Bob H Barrett, O.D.
Individual provider Active NPI Optometrist · Barnwell, SC
NPI 1073598348 · NPPES record last updated Mar 10, 2010
Key facts
- NPI
- 1073598348
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 649 (SC)
- Practice address
- 30 Fuldner Rd
Barnwell, SC 29812-7319 - Phone
- (803) 259-5155
- Fax
- (803) 259-0785
- NPI assigned
- Dec 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 18
Medicare Care Compare profile
- Specialty
- Optometry
- Education
- Southern College of Optometry, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- East Georgia Healthcare Center, Inc.
Practice addresses (Care Compare)
215 N Coleman St
Swainsboro, GA 30401-3530
Phone (478) 237-2638
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051021000010 | GA | Practitioner - Optometry | 4082630132 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Georgia Healthcare Center, Inc. | Current | Accepting new patients | |
| East Georgia Healthcare Center Inc | Current |
Accepting new patients | |
| East Georgia Healthcare Center, Inc. | Current |
Accepting new patients | |
| East Georgia Healthcare Center, Inc. | Past | Accepting new patients | |
| Bob H Barrett OD | Optometrist | Past | Accepting new patients |
Locations
215 N Coleman St
Swainsboro, GA 30401
Phone (478) 237-2638
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 649 | SC | Yes |
Addresses
Primary practice location
30 Fuldner Rd
Barnwell, SC 29812-7319
Mailing address
30 Fuldner Rd
Barnwell, SC 29812-7319
Phone (803) 259-5155
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 318931 | Medicaid | SC | |
| 41ZCFWT | Medicaid | GA |
Other names
- Bob H Barrett
Other providers in Barnwell, SC
- Barnwell Home Medical Equipment, LLC
- Barnwell Medical Associates PA
- Barnwell School District 45
- Barnwell Surgical Associates
- Barnwell Surgical Associates PC
- Courtney Ann Barwick
- Janelle Pruett Beasley
- Benchmark Healthcare Service LLC
- Berleys Pharmacy Inc
- Chidale Marie Blackwood
All providers in Barnwell, SC · Optometrist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.