Active NPI
Barth Vision Apc
- Ophthalmology Physician
- Healdsburg, CA
National Provider Identifier
1205434933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- BARTH VISION APC
- Practice address
- 640 Healdsburg Ave
Healdsburg, CA 95448-3609 - Phone
- (707) 955-1120
- Fax
- (707) 955-1135
- NPI assigned
- Oct 14, 2020
- Last updated
- Oct 14, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gary Barth, MD
- Title
- Owner
- Phone
- (707) 955-1120
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
640 Healdsburg Ave
Healdsburg, CA 95448-3609
Mailing address
640 Healdsburg Ave
Healdsburg, CA 95448-3609
Phone (707) 955-1120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
640 Healdsburg Ave
Healdsburg, CA 95448
Phone (707) 433-5020
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Healdsburg, CA
- NPI 1992783237
-
- Student in an Organized Health Care Education/Training Program
- Healdsburg, CA
- NPI 1649960865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1602633600000",
"number": "1205434933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 HEALDSBURG AVE",
"city": "HEALDSBURG",
"state": "CA",
"postal_code": "954483609",
"telephone_number": "707-955-1120",
"fax_number": "707-955-1135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 HEALDSBURG AVE",
"city": "HEALDSBURG",
"state": "CA",
"postal_code": "954483609",
"telephone_number": "707-955-1120",
"fax_number": "707-955-1135"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BARTH VISION APC",
"organizational_subpart": "NO",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-14",
"status": "A",
"authorized_official_last_name": "BARTH",
"authorized_official_first_name": "GARY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-955-1120",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Healdsburg, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2020; 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.