Individual provider Active NPI

John W Barnhart, O.D.

  • Optometrist
  • Warren, OH
National Provider Identifier
1407975113
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4265 Issued in OH
Practice address
4620 Mahoning Ave NW
Warren, OH 44483-1419
Phone
(330) 847-9093
Fax
(330) 847-2225
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4265 OH Primary

Addresses

Primary practice location

4620 Mahoning Ave NW
Warren, OH 44483-1419

Mailing address

4620 Mahoning Ave NW
Warren, OH 44483-1419
Phone (330) 847-9093

Other identifiers 1

IdentifierTypeStateIssuer
0141868MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20110502000022 OH Practitioner - Optometry 5193758159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Ohio State University - College of Optometry, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4620 Mahoning Ave NW
Warren, OH 44483-1419
Phone (330) 847-9093

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
John W Barnhart OD Inc. Optometrist CurrentSince Jan 1, 2002 Accepting new patients

Locations

4620 Mahoning Ave NW
Warren, OH 44483
Phone (330) 847-9093

Interoperability endpoints

  • Direct secure messaging: john.barnhartod@direct.revolutionehr.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1407975113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4620 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831419",
            "telephone_number": "330-847-9093",
            "fax_number": "330-847-2225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 MAHONING AVE NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444831419",
            "telephone_number": "330-847-9093",
            "fax_number": "330-847-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNHART",
        "first_name": "JOHN",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141868",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warren, OH

Sources for this page

Verify at the official NPI Registry.