Individual provider Active NPI

Matthew G. Barber, O.D.

  • Optometrist
  • Fort Worth, TX
National Provider Identifier
1487665360
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
05820TG Issued in TX
Practice address
6224 Camp Bowie Blvd
Fort Worth, TX 76116-5525
Phone
(817) 434-6281
Fax
(817) 569-7736
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 05820TG TX Primary

Addresses

Primary practice location

6224 Camp Bowie Blvd
Fort Worth, TX 76116-5525

Mailing address

6224 Camp Bowie Blvd
Fort Worth, TX 76116-5525
Phone (817) 434-6281

Other identifiers 2

IdentifierTypeStateIssuer
148279602MedicaidTX
05820TGOtherTXOPTOMETRY LICENSE

Other names 1

  • Dr. Matthew G. Barber Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20070913000321 TX Practitioner - Optometry 6608960224 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Matthew G. Barber, OD, PAGroup PAC ID 7618061235, 2 clinicians

Practice addresses (Care Compare)

1700 Montgomery St
Fort Worth, TX 76107-4008
Phone (817) 737-6281

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
05820TGTXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Matthew G. Barber, OD, PA Optometrist CurrentSince Aug 1, 2001 Accepting new patients

Locations

1700 Montgomery St
Fort Worth, TX 76107
Phone (817) 737-6281

6224 Camp Bowie Blvd
Ft Worth, TX 76116
Phone (817) 434-6281

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": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1487665360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165525",
            "telephone_number": "817-434-6281",
            "fax_number": "817-569-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 CAMP BOWIE BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761165525",
            "telephone_number": "817-434-6281",
            "fax_number": "817-569-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBER",
        "first_name": "MATTHEW",
        "middle_name": "G.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "05820TG",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148279602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "05820TG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "BARBER",
            "middle_name": "G.",
            "prefix": "DR.",
            "credential": "O.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.