Provider Demographics
NPI:1023216553
Name:BARCAK, MARY ANN (OPTICIAN)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:ANN
Last Name:BARCAK
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Gender:F
Credentials:OPTICIAN
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Mailing Address - Street 1:1601 MAIN ST
Mailing Address - Street 2:SUITE 109
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-3247
Mailing Address - Country:US
Mailing Address - Phone:281-342-1610
Mailing Address - Fax:281-232-6524
Practice Address - Street 1:1601 MAIN ST
Practice Address - Street 2:SUITE 109
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-3247
Practice Address - Country:US
Practice Address - Phone:281-342-1610
Practice Address - Fax:281-232-6524
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-05
Last Update Date:2011-12-01
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician