Individual provider Active NPI

Allan Leslie Meyer Barker, O.D.

  • Optometrist
  • Wrightsville Beach, NC
National Provider Identifier
1477592145
Registry record updated Jan 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0943 Issued in NC
Practice address
9 Ridge Lane N.
Wrightsville Beach, NC 28480
Phone
(252) 904-1184
Fax
(252) 451-5330
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0943 NC Primary

Addresses

Primary practice location

9 Ridge Lane N.
Wrightsville Beach, NC 28480

Mailing address

9 Ridge Lane N.
Wrightsville Beach, NC 28480
Phone (252) 904-1184

Other identifiers 1

IdentifierTypeStateIssuer
8909543MedicaidNC

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

LicenseStateTypeSpecialty
0943NCMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecarecenter, O.D., P.a. Optometrist PastSince Dec 15, 1976 Accepting new patients
Downtown Raleigh Eyecarecenter OD Optometrist PastSince May 1, 2007 Accepting new patients
Eyecarecenter OD PA Optometrist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578528000000",
    "number": "1477592145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RIDGE LANE N.",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "28480",
            "telephone_number": "252-904-1184",
            "fax_number": "252-451-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 RIDGE LANE N.",
            "city": "WRIGHTSVILLE BEACH",
            "state": "NC",
            "postal_code": "28480",
            "telephone_number": "252-904-1184",
            "fax_number": "252-451-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKER",
        "first_name": "ALLAN",
        "middle_name": "LESLIE MEYER",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2020-01-09",
        "certification_date": "2020-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NC",
            "license": "0943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8909543",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wrightsville Beach, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.