Active NPI
Paul Robert Barnard, O.D.
- Optometrist
- Evanston, WY
National Provider Identifier
1164623229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- WY 105T
- Practice address
- 916 Main St
Evanston, WY 82930-3441 - Phone
- (307) 789-1500
- Fax
- (307) 789-0077
- NPI assigned
- May 29, 2007
- 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 | WY 105T | WY | Primary |
Addresses
Primary practice location
916 Main St
Evanston, WY 82930-3441
Mailing address
246 Aspen Hills CT
Evanston, WY 82930-4785
Phone (307) 789-9742
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WY 105T | WY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| David R Russell OD | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
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
- Evanston, WY
- NPI 1700076643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164623229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 ASPEN HILLS CT",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829304785",
"telephone_number": "307-789-9742",
"fax_number": "307-789-0077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 MAIN ST",
"city": "EVANSTON",
"state": "WY",
"postal_code": "829303441",
"telephone_number": "307-789-1500",
"fax_number": "307-789-0077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARNARD",
"first_name": "PAUL",
"middle_name": "ROBERT",
"credential": "O.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "WY",
"license": "WY 105T",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evanston, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.