Richard Lee Barnes III, O.D.
Individual provider Active NPI Optometrist · Conway, AR
NPI 1164095345 · NPPES record last updated Jul 23, 2021
Key facts
- NPI
- 1164095345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 2834 (AR)
- Practice address
- 1400 Old Morrilton Hwy
Conway, AR 72032-3513 - Phone
- (501) 450-9191
- Fax
- (501) 450-9922
- NPI assigned
- Jul 23, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|
| 2834 | AR | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2834 | AR | Yes |
Addresses
Primary practice location
1400 Old Morrilton Hwy
Conway, AR 72032-3513
Mailing address
1400 Old Morrilton Hwy
Conway, AR 72032-3513
Phone (501) 450-9191
Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2021. 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.