Individual provider Active NPI

Keila Barr, OD

  • Optometrist
  • Temecula, CA
National Provider Identifier
1790356996
Registry record updated Aug 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35236 Issued in CA
Practice address
41238 Margarita Rd Ste 105
Temecula, CA 92591-5552
Phone
(951) 587-2333
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 10205 TX
Optometrist 152W00000X 35236 CA Primary

Addresses

Primary practice location

41238 Margarita Rd Ste 105
Temecula, CA 92591-5552

Mailing address

32287 Corte San Vincente
Temecula, CA 92592-6353
Phone (956) 545-5335

Other practice location 1

27540 Ynez Rd Ste J15
Temecula, CA 92591-4604
Phone (951) 506-0021

Other identifiers 1

IdentifierTypeStateIssuer
35236OtherCACALIFORNIA OPTOMETRY BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Temecula Direct Clear Sight Optometry PLLC

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10205TXMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Komm Medical Eye & Vision Group, LTD. Optometrist PastSince Sep 4, 2022 Accepting new patients
Clear Sight Optometry Temecula Eye Care, Inc. Optometrist PastSince Apr 27, 2017 Accepting new patients
Love Optometry, Inc. Optometrist PastSince Nov 9, 2021 Accepting new patients

Organizations & group practices 3

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": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661904000000",
    "number": "1790356996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32287 CORTE SAN VINCENTE",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925926353",
            "telephone_number": "956-545-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41238 MARGARITA RD STE 105",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915552",
            "telephone_number": "951-587-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27540 Ynez Rd Ste J15",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925914604",
            "country_code": "US",
            "telephone_number": "951-506-0021",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARR",
        "first_name": "KEILA",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2022-08-31",
        "certification_date": "2022-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TX",
            "license": "10205",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA OPTOMETRY BOARD",
            "identifier": "35236",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Temecula",
            "affiliation": "Y",
            "endpointDescription": "Clear Sight Optometry",
            "affiliationName": "Clear Sight Optometry PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27540 Ynez Rd Ste J15",
            "city": "Temecula",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925914604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; 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.