Organization Active NPI

Barnwell Eye Center

  • Optometrist
  • Barnwell, SC
National Provider Identifier
1720279474
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OPT002092 Issued in GA
Legal business name
BARNWELL EYE CENTER
Practice address
30 Fuldner Rd
Barnwell, SC 29812-7319
Phone
(803) 259-5155
NPI assigned
Aug 7, 2007
Last updated
Aug 31, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2009

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

Authorized official

Name
Dr. Bob Herbert BarrettNPI 1073598348
Title
Dr. of Optometry
Phone
(803) 259-5155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OPT002092 GA Primary

Addresses

Primary practice location

30 Fuldner Rd
Barnwell, SC 29812-7319

Mailing address

30 Fuldner Rd
Barnwell, SC 29812-7319
Phone (803) 259-5155

Other identifiers 1

IdentifierTypeStateIssuer
384825893AMedicaidGA

National Provider Directory

National Provider Directory

Locations

414 S Main St
Swainsboro, GA 30401
Phone (478) 237-3524

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1720279474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 FULDNER RD",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298127319",
            "telephone_number": "803-259-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 FULDNER RD",
            "city": "BARNWELL",
            "state": "SC",
            "postal_code": "298127319",
            "telephone_number": "803-259-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARNWELL EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "BOB",
        "authorized_official_middle_name": "HERBERT",
        "authorized_official_title_or_position": "DR. OF OPTOMETRY",
        "authorized_official_telephone_number": "803-259-5155",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "GA",
            "license": "OPT002092",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "384825893A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barnwell, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.