Organization Active NPI

Justin Barnett OD, PA

  • Optometrist
  • Sachse, TX
National Provider Identifier
1245390913
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6922TG Issued in TX
Legal business name
JUSTIN BARNETT OD, PA
Practice address
5120 Highway 78
Suite 700
Sachse, TX 75048-4243
Phone
(972) 530-2020
Fax
(972) 530-3315
NPI assigned
Dec 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Dr. Justin Kelly Barnett, O.D.
Title
President, Ceo
Phone
(281) 935-1326

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6922TG TX Primary

Addresses

Primary practice location

5120 Highway 78
Suite 700
Sachse, TX 75048-4243

Mailing address

5120 Highway 78
Suite 700
Sachse, TX 75048-4243
Phone (972) 530-2020

National Provider Directory

National Provider Directory

Locations

5120 Highway 78
Ste 700
Sachse, TX 75048
Phone (281) 935-1326

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": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1245390913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 HIGHWAY 78",
            "address_2": "SUITE 700",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750484243",
            "telephone_number": "972-530-2020",
            "fax_number": "972-530-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5120 HIGHWAY 78",
            "address_2": "SUITE 700",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750484243",
            "telephone_number": "972-530-2020",
            "fax_number": "972-530-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN BARNETT OD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "281-935-1326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "TX",
            "license": "6922TG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sachse, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.