Individual
DR. JEFFERSON WAYNE BARKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2716 N BROADWAY, PITTSBURGH, KS 66762
(620) 231-2010
(620) 230-0290
Mailing address
2716 N BROADWAY, PITTSBURGH, KS 66762
(620) 231-2010
(620) 230-0290
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
KS1345
KS
152W00000X
Optometrist
T02980
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10039522019
—
KS
01
—
13371
SPECTERA
—
01
—
411070
FIRST GUARD
KS
01
—
47658
DAVIS VISION
—
01
—
650806
BLUE CROSS BLUE SHIELD
—
01
—
BA1336943
CLARITY VISION
—
Enumeration date
12/13/2006
Last updated
07/08/2007
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