Individual provider Active NPI

Gary Lee Barker, O.D.

  • Optometrist
  • Winter Park, FL
National Provider Identifier
1235116468
Registry record updated May 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC1813 Issued in FL
Practice address
1928 Howell Branch Rd
Winter Park, FL 32792-1013
Phone
(407) 671-5445
Fax
(407) 671-2899
NPI assigned
Dec 29, 2005
Last updated
May 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC1813 FL Primary
Corneal and Contact Management Optometrist 152WC0802X OPC1813 FL
Pediatric Optometrist 152WP0200X OPC1813 FL

Addresses

Primary practice location

1928 Howell Branch Rd
Winter Park, FL 32792-1013

Mailing address

1928 Howell Branch Rd
Winter Park, FL 32792-1013
Phone (407) 671-5445

Other identifiers 1

IdentifierTypeStateIssuer
084702000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100814000013 FL Practitioner - Optometry 1052445939 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Kelley Eye, LLC Optometrist CurrentSince Jul 13, 2022 Accepting new patients

Locations

1928 Howell Branch Rd
Winter Park, FL 32792
Phone (407) 671-5445

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1235116468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 HOWELL BRANCH RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921013",
            "telephone_number": "407-671-5445",
            "fax_number": "407-671-2899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 HOWELL BRANCH RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921013",
            "telephone_number": "407-671-5445",
            "fax_number": "407-671-2899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "GARY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC1813",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "FL",
            "license": "OPC1813",
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "FL",
            "license": "OPC1813",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084702000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

Verify at the official NPI Registry.