Felix M Barker, OD

Individual provider Active NPI Optometrist · Philadelphia, PA

NPI 1689683070 · NPPES record last updated Feb 15, 2012

Key facts

NPI
1689683070
Entity type
Individual (NPI type 1)
Primary specialty
Optometrist 152W00000X
License
OEG000188 (PA)
Practice address
1200 W Godfrey Ave
Philadelphia, PA 19141-3323
Phone
(215) 276-6000
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OEG000188 PA Yes

Addresses

Primary practice location

1200 W Godfrey Ave
Philadelphia, PA 19141-3323

Mailing address

600 Mulford Rd
Wyncote, PA 19095-1110
Phone (215) 576-5112

Other identifiers

IdentifierTypeStateIssuer
133722OtherPABLUE SHIELD
2248OtherPAAETNA HMO

Other providers in Philadelphia, PA

All providers in Philadelphia, PA · Optometrist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.