Provider Demographics
NPI:1083726343
Name:BARNES, SOPHIA W (OD)
Entity Type:Individual
Prefix:DR
First Name:SOPHIA
Middle Name:W
Last Name:BARNES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Mailing Address - Street 1:4725 WESTHEIMER RD STE 590
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-4717
Mailing Address - Country:US
Mailing Address - Phone:713-623-2000
Mailing Address - Fax:713-623-2007
Practice Address - Street 1:5000 WESTHEIMER RD
Practice Address - Street 2:SUITE 590
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5613
Practice Address - Country:US
Practice Address - Phone:713-623-2000
Practice Address - Fax:713-623-2007
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2019-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3314TG152WP0200X, 152WS0006X, 152WX0102X, 152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
No152WS0006XEye and Vision Services ProvidersOptometristSports Vision
No152WX0102XEye and Vision Services ProvidersOptometristOccupational Vision
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXU14093Medicare UPIN
TX8D2882Medicare PIN
TX83330EMedicare PIN