Organization
ANDREA M. BARNHART, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA MARIE BARNHART O.D. (OWNER)
(619) 298-1154
Entity
Organization
Contact information
Practice address
3311 4TH AVE, SAN DIEGO, CA 92103-5703
(619) 298-1154
(619) 296-8849
Mailing address
3311 4TH AVE, SAN DIEGO, CA 92103-5703
(619) 298-1154
(619) 296-8849
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
12277T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114957180
INDIVIDUAL NPI
CA
01
—
12277T
CA LICENSE
CA
01
—
OP12277
MEDICARE
CA
Enumeration date
10/29/2007
Last updated
10/29/2007
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