Barnett Wamboldt Eyecare, SC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BARNETT WAMBOLDT EYECARE, SC

Doing business as

In Focus EYecare

Practice address

6116 39TH Ave
Kenosha, WI 53142-7012

Phone

(262) 653-0100

Fax

(262) 653-0200

NPI assigned

Apr 24, 2019

Organization subpart

Yes

Parent organization

BARNETT WAMBOLDT EYECARE, SCAs reported in NPPES

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

Authorized official

Name

Dr. Debra Jeanne Barnett, ODNPI 1831183540

Title

President/Owner

Phone

(262) 653-0100

Specialties & licenses 1

Addresses

Other names 1

• In Focus EYecare Doing business as

Tax ID family

Barnett Wamboldt Eyecare SC2 organizations share this tax ID, including this one

Part of

Barnett Wamboldt Eyecare SC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Barnett Wamboldt Eyecare, SC

  • Primary Care Clinic/Center
  • Kenosha, WI
  • NPI 1497905129
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Barnett Wamboldt Eyecare, SC

  • Primary Care Clinic/Center
  • Kenosha, WI
  • NPI 1497905129
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Debra Jeanne Barnett, O.D.

  • Optometrist
  • Kenosha, WI
  • NPI 1831183540
  NPD Authorized official

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

{
    "created_epoch": "1556064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556064000000",
    "number": "1528622669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10314 83RD PL",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531582023",
            "telephone_number": "262-705-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6116 39TH AVE",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531427012",
            "telephone_number": "262-653-0100",
            "fax_number": "262-653-0200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7707 94th Ave",
            "address_purpose": "LOCATION",
            "city": "Pleasant Prairie",
            "state": "WI",
            "postal_code": "531581955",
            "country_code": "US",
            "telephone_number": "262-597-1042",
            "fax_number": "262-597-1043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BARNETT WAMBOLDT EYECARE, SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BARNETT WAMBOLDT EYECARE, SC",
        "enumeration_date": "2019-04-24",
        "last_updated": "2019-04-24",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "JEANNE",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "262-653-0100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "In Focus EYecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniel Baran, MA
• Kayla Marie Baran, PHYSICIAN ASSISTANT
• Collin Scott Barber
• Jennifer Barncard, LMT
• Barnett Wamboldt Eyecare, SC
• Debra Jeanne Barnett, O.D.
• James Edward Barnhart, RPH
• Lauren Barnhart
• Heather M Barrett, PA
• Joseph P Barta, DDS

• Optometrist in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2019; 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.