John W Barnhart OD Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

4265 Issued in OH

Legal business name

JOHN W BARNHART OD INC.

Practice address

4620 Mahoning Ave
Warren, OH 44483-1419

Phone

(330) 847-9093

Fax

(330) 847-2225

NPI assigned

Jul 11, 2006

Organization subpart

No

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

Authorized official

Name

John W Barnhart, ODNPI 1407975113

Title

President

Phone

(330) 847-9093

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John W Barnhart, O.D.

  • Optometrist
  • Warren, OH
  • NPI 1407975113
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1104851278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 MAHONING AVE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831419",
            "telephone_number": "330-847-9093",
            "fax_number": "330-847-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 MAHONING AVE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831419",
            "telephone_number": "330-847-9093",
            "fax_number": "330-847-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN W BARNHART OD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "BARNHART",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-847-9093",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141868",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Warren, OH
• Providers in Warren, OH by specialty
• Optometrist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.