Organization Active NPI

Dr Barnes & Associates LLC

  • Optometrist
  • Central Point, OR
National Provider Identifier
1831859487
Registry record updated Dec 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR BARNES & ASSOCIATES LLC
Practice address
3075 Hamrick Rd
Central Point, OR 97502-2844
Phone
(541) 734-2467
Fax
(541) 734-0982
NPI assigned
Dec 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2021

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

Authorized official

Name
Stephen Allen Barnes, ODNPI 1659491777
Title
Optometric Physician /Part Owner
Phone
(541) 734-2467

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3075 Hamrick Rd
Central Point, OR 97502-2844

Mailing address

350 Mary Ann Dr
Jacksonville, OR 97530-9706
Phone (541) 899-7429

Other names 1

  • Stephen A Barnes Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220210000297 OR Part B Supplier - Clinic/Group Practice 7315330545 Receives reassigned benefits from 4 practitioners
Practice locations: Central Point, OR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640131200000",
    "number": "1831859487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 MARY ANN DR",
            "city": "JACKSONVILLE",
            "state": "OR",
            "postal_code": "975309706",
            "telephone_number": "541-899-7429",
            "fax_number": "541-734-0982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 HAMRICK RD",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975022844",
            "telephone_number": "541-734-2467",
            "fax_number": "541-734-0982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR BARNES & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-22",
        "last_updated": "2021-12-22",
        "certification_date": "2021-12-22",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OPTOMETRIC PHYSICIAN /PART OWNER",
        "authorized_official_telephone_number": "541-734-2467",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stephen A Barnes",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Central Point, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.