NPIMap

Organization Active NPI

Meredith a. Barber, O.D., Inc.

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1316480890
Registry record updated Dec 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
13939 Issued in CA
Legal business name
MEREDITH A. BARBER, O.D., INC.
Practice address
8471 Beverly Blvd Ste 105
Los Angeles, CA 90048-3452
Phone
(310) 360-8220
Fax
(310) 360-8212
NPI assigned
Dec 1, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2016

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

Authorized official

Name
Dr. Meredith A Barber, O.D.NPI 1093022964
Title
President
Phone
(703) 937-7245

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 13939 CA Primary

Addresses

Primary practice location

8471 Beverly Blvd Ste 105
Los Angeles, CA 90048-3452

Mailing address

8471 Beverly Blvd Ste 105
Los Angeles, CA 90048-3452
Phone (310) 360-8220

Other names 1

  • Beverly Plaza Optometry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191028002572 CA Part B Supplier - Clinic/Group Practice 0244562023 Receives reassigned benefits from 2 practitioners
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Locations

8471 Beverly Blvd
Ste 105
Los Angeles, CA 90048
Phone (310) 360-8218

Practitioners & affiliated clinicians

Practitioners 2

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": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1316480890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8471 BEVERLY BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483452",
            "telephone_number": "310-360-8220",
            "fax_number": "310-360-8212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8471 BEVERLY BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483452",
            "telephone_number": "310-360-8220",
            "fax_number": "310-360-8212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEREDITH A. BARBER, O.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "MEREDITH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-937-7245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "CA",
            "license": "13939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beverly Plaza Optometry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.