Active NPI
Selena Janice Barksdale, O.D.
- Optometrist
- White Plains, NY
National Provider Identifier
1467667717
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- T004359-1
- Practice address
- 6 Granada Cres Apt 10
White Plains, NY 10603-1221 - Phone
- (914) 761-2456
- NPI assigned
- May 11, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | T004359-1 | NY | Primary |
Addresses
Primary practice location
6 Granada Cres Apt 10
White Plains, NY 10603-1221
Mailing address
6 Granada Cres Apt 10
White Plains, NY 10603-1221
Phone (914) 761-2456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T004359-1 | NY | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pension Committee Joint Industry Board | Past | Accepting new patients |
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.
-
- Clinic/Center
- Flushing, NY
- NPI 1033265095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222387200000",
"number": "1467667717",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 GRANADA CRES APT 10",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106031221",
"telephone_number": "914-761-2456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 GRANADA CRES APT 10",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106031221",
"telephone_number": "914-761-2456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARKSDALE",
"first_name": "SELENA",
"middle_name": "JANICE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-11",
"last_updated": "2008-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NY",
"license": "T004359-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.