Individual
DR. DALE IRVIN BARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2730 UNION AVE, STE A, SAN JOSE, CA 95124-1431
(408) 371-2282
Mailing address
3273 WALTON WAY, SAN JOSE, CA 95117-3074
(408) 249-8464
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT9931TPL
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0681170001
MEDICARE CIGNA DMERC
CA
05
—
SD0099310
—
CA
Enumeration date
06/09/2005
Last updated
10/30/2009
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