Individual
MATTHEW G. BARBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6224 CAMP BOWIE BLVD, FORT WORTH, TX 76116-5525
(817) 434-6281
(817) 569-7736
Mailing address
6224 CAMP BOWIE BLVD, FORT WORTH, TX 76116-5525
(817) 434-6281
(817) 569-7736
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
05820TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05820TG
OPTOMETRY LICENSE
TX
05
—
148279602
—
TX
Enumeration date
08/10/2006
Last updated
09/28/2011
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