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
- 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
2075 N Germantown Pkwy
Cordova, TN 38016-1729
Phone (901) 754-1881
Other practice location 3
20914 Drake Rd
Strongsville, OH 44149-5851
Phone (440) 878-0122
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3587 | Other | TN | TENNESSEE BOARD OF OPTOMETRY |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251205003658 | TN | Practitioner - Optometry | 3577837962 | Reassigns benefits to 1 organization |
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
- Eye Care Associates of Co LLC
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 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Optometrist
- Creston, IA
- NPI 1548023518
-
- Optometrist
- Fort Dodge, IA
- NPI 1104689165
-
- Optometrist
- Atlantic, IA
- NPI 1215790290
-
- Optometrist
- Creston, IA
- NPI 1770346751
-
- Optometrist
- Grinnell, IA
- NPI 1801659792
-
- Optometrist
- Red Oak, IA
- NPI 1881457760
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": "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"
},
{
"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"
}
],
"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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TENNESSEE BOARD OF OPTOMETRY",
"identifier": "3587",
"state": "TN"
}
],
"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.