Individual
DR. THOMAS R BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
764 GRAND AVE, SAINT PAUL, MN 55105-3306
(651) 227-8198
(651) 227-8198
Mailing address
764 GRAND AVE, SAINT PAUL, MN 55105-3306
(651) 227-8198
(651) 227-8198
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1389
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20435BA
BCBS
MN
01
—
22-11679
MEDICA
MN
05
—
31432600
—
MN
Enumeration date
03/29/2007
Last updated
07/08/2007
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