Debra Maxine Barnes, OD
Individual provider
Active NPI
Optometrist · Schertz, TX
NPI 1386687432 · NPPES record last updated Nov 13, 2008
Key facts
- NPI
- 1386687432
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3140TG (TX)
- Practice address
- 17323 1H 35 North
Suite 110
Schertz, TX 78154
- Phone
- (210) 651-5800
- Fax
- (210) 651-9733
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| I20031117000212 |
TX |
Practitioner - Optometry |
5991619785 |
Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|
| 3140TG | TX | MD | Optometrist |
Practice roles
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Optometrist |
152W00000X |
3140TG |
TX |
Yes |
| Corneal and Contact Management Optometrist |
152WC0802X |
3140TG |
TX |
|
| Pediatric Optometrist |
152WP0200X |
3140TG |
TX |
|
Addresses
Primary practice location
17323 1H 35 North
Suite 110
Schertz, TX 78154
Mailing address
17323 1H 35 North
Suite 110
Schertz, TX 78154
Phone (210) 651-5800
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 03140TG | Other | TX | TEXAS OPTOMETRY LICENSE |
| 019433401 | Medicaid | TX | |