Provider Demographics
NPI:1124044185
Name:BARTON, DOUGLAS C (OD)
Entity Type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:C
Last Name:BARTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22833 BOTHELL EVERETT HWY
Mailing Address - Street 2:#154
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-9372
Mailing Address - Country:US
Mailing Address - Phone:425-485-0430
Mailing Address - Fax:
Practice Address - Street 1:22833 BOTHELL EVERETT HWY
Practice Address - Street 2:STE. 154
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-9372
Practice Address - Country:US
Practice Address - Phone:425-485-0430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2009-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1413152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1124044185OtherBLUE CROSS OF WASH.
WA1124044185OtherBLUE CROSS EMPIRE
WA2076107Medicaid
WAR05952OtherREGENCE BLUE SHIELD
WA2076107Medicaid
WA1124044185OtherBLUE CROSS EMPIRE
WA0916660001Medicare NSC