Provider Demographics
NPI:1033246707
Name:BARROW EYE CENTER
Entity Type:Organization
Organization Name:BARROW EYE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARROW
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:270-725-8382
Mailing Address - Street 1:PO BOX 1498
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42276-3498
Mailing Address - Country:US
Mailing Address - Phone:270-725-8382
Mailing Address - Fax:270-725-9666
Practice Address - Street 1:709 E 4TH ST
Practice Address - Street 2:
Practice Address - City:RUSSELLVILLE
Practice Address - State:KY
Practice Address - Zip Code:42276-1859
Practice Address - Country:US
Practice Address - Phone:270-725-8382
Practice Address - Fax:270-725-9666
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY4500207800Medicaid