Keith David Barker, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

2239 Issued in NM

Practice address

621 E Llano Estacado Blvd
Clovis, NM 88101-0609

Phone

(575) 769-2339

Fax

(575) 769-0672

NPI assigned

Sep 20, 2005

Reactivated

Apr 11, 2006

Last updated

Apr 16, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keith D. Barker OD PC

  • Optometrist
  • Clovis, NM
  • NPI 1861659856
  Authorized official Same address or phone
• Healing Source Chiropractic PC

  • Chiropractor
  • Las Cruces, NM
  • NPI 1982753141
  NPD (past)

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1215923867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "address_2": "621 E LLANO ESTACADO BLVD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881020609",
            "telephone_number": "575-769-2339",
            "fax_number": "575-769-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E LLANO ESTACADO BLVD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881010609",
            "telephone_number": "575-769-2339",
            "fax_number": "575-769-0672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "KEITH",
        "middle_name": "DAVID",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2013-04-16",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "2239",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "410020718",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000P1217",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "5057692339",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirsten Barber
• Molly Kiernan Barbieri, APRN
• Edie Barela, LMHC
• Cambree Bargas
• Michelle Bargas
• Barnett Chiropractic Wellness Center
• Caleb Barnett, D.C.
• Esther Barnett
• Hope Bass
• Lakrista Battle

• Optometrist in Clovis, NM
• Providers in Clovis, NM by specialty
• Optometrist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.