Active NPI
Dominique Ivette Barton, O.D.
- Optometrist
- Cordova, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 3587
- Practice address
- 51 Germantown CT Ste 103
Cordova, TN 38018-4270 - Phone
- (800) 983-9741
- NPI assigned
- Jun 28, 2016
- Last updated
- Aug 12, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 6526 | OH | |
| Optometrist | 152W00000X | 3587 | TN | Primary |
Addresses
Primary practice location
51 Germantown CT Ste 103
Cordova, TN 38018-4270
Mailing address
51 Germantown CT Ste 103
Cordova, TN 38018-4270
Other practice location 1
4281 American Way
Memphis, TN 38118-2014
Phone (901) 385-0930
Other practice location 2
20914 Drake Rd
Strongsville, OH 44149-5851
Phone (440) 878-0122
Other practice location 3
2075 N Germantown Pkwy
Cordova, TN 38016-1729
Phone (901) 754-1881
Other names 1
- Dominique Garcia Robles
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- Southern College of Optometry, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1900 Kirby Pkwy
Suite 100B
Germantown, TN 38138-3653
Phone (901) 754-0930
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6526 | OH | MD | Optometrist |
| 3587 | TN | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
| Eye Care Associates of Co LLC | Optometrist | Current | Accepting new patients |
Locations
1900 Kirby Pkwy
Ste 100B
Germantown, TN 38138
Phone (901) 754-0930
4260 Fort Henry Dr
Ste 16
Kingsport, TN 37663
Phone (423) 246-6317
1900 Kirby Pkwy
Memphis, TN 38138
Phone (901) 624-6885
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": "1467072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660262400000",
"number": "1285085548",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 GERMANTOWN CT STE 103",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380184270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 GERMANTOWN CT STE 103",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380184270",
"telephone_number": "800-983-9741"
}
],
"practiceLocations": [
{
"address_1": "4281 American Way",
"address_purpose": "LOCATION",
"city": "Memphis",
"state": "TN",
"postal_code": "381182014",
"country_code": "US",
"telephone_number": "901-385-0930",
"fax_number": "901-365-1258",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20914 Drake Rd",
"address_purpose": "LOCATION",
"city": "Strongsville",
"state": "OH",
"postal_code": "441495851",
"country_code": "US",
"telephone_number": "440-878-0122",
"fax_number": "440-878-1068",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2075 N Germantown Pkwy",
"address_purpose": "LOCATION",
"city": "Cordova",
"state": "TN",
"postal_code": "380161729",
"country_code": "US",
"telephone_number": "901-754-1881",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BARTON",
"first_name": "DOMINIQUE",
"middle_name": "IVETTE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-28",
"last_updated": "2022-08-12",
"certification_date": "2022-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OH",
"license": "6526",
"primary": false
},
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "TN",
"license": "3587",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DOMINIQUE",
"last_name": "GARCIA ROBLES",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.