Individual provider Active NPI

Barry Jay Stein, O D

  • Optometrist
  • Pensacola, FL
National Provider Identifier
1619983806
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPC 2125 Issued in FL
Practice address
6601 N Davis Hwy Ste 1-B
Pensacola, FL 32504-6210
Phone
(850) 476-6100
Fax
(850) 471-1155
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPC 2125 FL Primary

Addresses

Primary practice location

6601 N Davis Hwy Ste 1-B
Pensacola, FL 32504-6210

Mailing address

6601 N Davis Hwy Ste 1-B
Pensacola, FL 32504-6210
Phone (850) 476-6100

Other identifiers 1

IdentifierTypeStateIssuer
620681600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20090529000158 FL Practitioner - Optometry 8426107194 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6400 N Davis Hwy
Suite 1
Pensacola, FL 32504-6968
Phone (850) 476-6100

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OPC 2125FLMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Pensacola Vision Center Inc Optometrist CurrentSince Mar 9, 2012 Accepting new patients

Locations

6601 N Davis Hwy
Ste 1B
Pensacola, FL 32504
Phone (850) 476-6100

6400 N Davis Hwy
Ste 1
Pensacola, FL 32504
Phone (850) 476-6100

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1619983806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6601 N DAVIS HWY STE 1-B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046210",
            "telephone_number": "850-476-6100",
            "fax_number": "850-471-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 N DAVIS HWY STE 1-B",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325046210",
            "telephone_number": "850-476-6100",
            "fax_number": "850-471-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEIN",
        "first_name": "BARRY",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "O D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 2125",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620681600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.