NPIMap

Organization Active NPI

Keith D. Barker OD PC

  • Optometrist
  • Clovis, NM
National Provider Identifier
1861659856
Registry record updated Jul 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2239T Issued in NM
Legal business name
KEITH D. BARKER OD PC
Practice address
621 E Llano Estacado Blvd
Clovis, NM 88101-3758
Phone
(575) 769-2339
NPI assigned
May 19, 2008
Last updated
Jul 2, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2014

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

Authorized official

Name
Mr. Keith D Barker, OD PCNPI 1215923867
Title
Owner
Phone
(505) 769-2339

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 2239T NM Primary

Addresses

Primary practice location

621 E Llano Estacado Blvd
Clovis, NM 88101-3758

Mailing address

PO Box 609
Clovis, NM 88102-0609
Phone (575) 769-2339

National Provider Directory

National Provider Directory

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404259200000",
    "number": "1861659856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881020609",
            "telephone_number": "575-769-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 E LLANO ESTACADO BLVD",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "881013758",
            "telephone_number": "575-769-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH D. BARKER OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2014-07-02",
        "status": "A",
        "authorized_official_last_name": "BARKER",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-769-2339",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "OD PC"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NM",
            "license": "2239T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2014; 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.