Active NPI
Douglas C Barton, O.D.
- Optometrist
- Bothell, WA
National Provider Identifier
1124044185
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1413
- Practice address
- 22833 Bothell Everett Hwy
Ste. 154
Bothell, WA 98021-9372 - Phone
- (425) 485-0430
- NPI assigned
- Jul 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 1413 | WA | Primary |
Addresses
Primary practice location
22833 Bothell Everett Hwy
Ste. 154
Bothell, WA 98021-9372
Mailing address
22833 Bothell Everett Hwy
#154
Bothell, WA 98021-9372
Phone (425) 485-0430
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124044185 | Other | WA | BLUE CROSS OF WASH. |
| 1124044185 | Other | WA | BLUE CROSS EMPIRE |
| 2076107 | Medicaid | WA | |
| R05952 | Other | WA | REGENCE BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1413 | WA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Karuna Sharma OD PLLC | Optometrist | Past | Accepting new patients |
| Douglas C. Barton | Optometrist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Bothell, WA
- NPI 1679724603
-
- Optometrist
- Lynnwood, WA
- NPI 1912338260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239235200000",
"number": "1124044185",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22833 BOTHELL EVERETT HWY",
"address_2": "#154",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980219372",
"telephone_number": "425-485-0430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22833 BOTHELL EVERETT HWY",
"address_2": "STE. 154",
"city": "BOTHELL",
"state": "WA",
"postal_code": "980219372",
"telephone_number": "425-485-0430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTON",
"first_name": "DOUGLAS",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2009-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WA",
"license": "1413",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF WASH.",
"identifier": "1124044185",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS EMPIRE",
"identifier": "1124044185",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2076107",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE BLUE SHIELD",
"identifier": "R05952",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bothell, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.