Organization Active NPI

Andrea M. Barnhart, O.D.

  • Optometrist
  • San Diego, CA
National Provider Identifier
1205015021
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
12277T Issued in CA
Legal business name
ANDREA M. BARNHART, O.D.
Practice address
3311 4TH Ave
San Diego, CA 92103-5703
Phone
(619) 298-1154
Fax
(619) 296-8849
NPI assigned
Oct 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Authorized official

Name
Dr. Andrea Marie Barnhart, O.D.NPI 1114957180
Title
Owner
Phone
(619) 298-1154

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 12277T CA Primary

Addresses

Primary practice location

3311 4TH Ave
San Diego, CA 92103-5703

Mailing address

3311 4TH Ave
San Diego, CA 92103-5703
Phone (619) 298-1154

Other identifiers 3

IdentifierTypeStateIssuer
OP12277OtherCAMEDICARE
12277TOtherCACA LICENSE
1114957180OtherCAINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Locations

3311 4th Ave
San Diego, CA 92103
Phone (619) 298-1154

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193616000000",
    "number": "1205015021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035703",
            "telephone_number": "619-298-1154",
            "fax_number": "619-296-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 4TH AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035703",
            "telephone_number": "619-298-1154",
            "fax_number": "619-296-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREA M. BARNHART, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2007-10-29",
        "status": "A",
        "authorized_official_last_name": "BARNHART",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-298-1154",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "12277T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "OP12277",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "12277T",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1114957180",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 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.

Verify at the official NPI Registry.