Debra Jeanne Barnett, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2407035 Issued in WI

Practice address

6116 39TH Ave
Kenosha, WI 53142-7012

Phone

(262) 653-0100

Fax

(262) 653-0200

NPI assigned

Sep 8, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Barnett Wamboldt Eyecare, SC

  • Optometrist
  • Kenosha, WI
  • NPI 1528622669
  NPD Authorized official
• Barnett Wamboldt Eyecare, SC

  • Primary Care Clinic/Center
  • Kenosha, WI
  • NPI 1497905129
  Medicare reassignment

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233187200000",
    "number": "1831183540",
    "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": "262-697-3665",
            "fax_number": "262-653-0200"
        },
        {
            "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": [],
    "basic": {
        "last_name": "BARNETT",
        "first_name": "DEBRA",
        "middle_name": "JEANNE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2009-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "2407035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Marie Baran, PHYSICIAN ASSISTANT
• Collin Scott Barber
• Jennifer Barncard, LMT
• Barnett Wamboldt Eyecare, SC
• Barnett Wamboldt Eyecare, SC
• James Edward Barnhart, RPH
• Lauren Barnhart
• Heather M Barrett, PA
• Joseph P Barta, DDS
• Katie Bartelak, MS, OTR/L, CLT

• 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 Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.