Provider Demographics
NPI:1063827822
Name:MIHALIK, BARBARA R (OD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:R
Last Name:MIHALIK
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:R
Other - Last Name:ROWLANDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-8116
Mailing Address - Fax:614-293-3555
Practice Address - Street 1:915 OLENTANGY RIVER RD
Practice Address - Street 2:5TH FLOOR
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3153
Practice Address - Country:US
Practice Address - Phone:614-293-8116
Practice Address - Fax:614-293-3555
Is Sole Proprietor?:No
Enumeration Date:2014-06-30
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6299152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0108754Medicaid
OHP01626995OtherRAILROAD MEDICARE
OHH371720Medicare PIN