Dale S Barr, O.D.
Individual provider Active NPI Optometrist · Sidney, OH
NPI 1912969361 · NPPES record last updated Sep 27, 2012
Key facts
- NPI
- 1912969361
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 3160 (OH)
- Practice address
- 1086 Fairington Dr
Sidney, OH 45365-8913 - Phone
- (937) 492-9197
- Fax
- (937) 492-1901
- NPI assigned
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 3160 | OH | Yes |
Addresses
Primary practice location
1086 Fairington Dr
Sidney, OH 45365-8913
Mailing address
1086 Fairington Dr
Sidney, OH 45365-8913
Phone (937) 492-9197
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0304601 | Medicaid | OH |
Other providers in Sidney, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.