Individual provider Active NPI

Terra J Barnes, D.O

  • Optometrist
  • Laguna Woods, CA
National Provider Identifier
1295831303
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT 10283 Issued in CA
Practice address
24361 El Toro Rd Ste 180
Laguna Woods, CA 92637-2756
Phone
(949) 458-2040
Fax
(949) 458-2064
NPI assigned
Sep 15, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT 10283 CA Primary

Addresses

Primary practice location

24361 El Toro Rd Ste 180
Laguna Woods, CA 92637-2756

Mailing address

24361 El Toro Rd Ste 180
Laguna Woods, CA 92637-2756
Phone (949) 458-2040

Other identifiers 2

IdentifierTypeStateIssuer
11-3663840OtherCATAX ID
SD0102830MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040122001217 CA Practitioner - Optometry 4486556172 Practice locations: Irvine, CA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

16480 Bake Pkwy
Irvine, CA 92618-4665

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OPT 10283CAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295831303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24361 EL TORO RD STE 180",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372756",
            "telephone_number": "949-458-2040",
            "fax_number": "949-458-2064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24361 EL TORO RD STE 180",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372756",
            "telephone_number": "949-458-2040",
            "fax_number": "949-458-2064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "TERRA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT 10283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "11-3663840",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0102830",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Woods, CA

Sources for this page

Verify at the official NPI Registry.