Provider Demographics
NPI:1164710794
Name:BARIN, HEIDI (OD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:BARIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10260 WESTHEIMER RD
Mailing Address - Street 2:SUITE 580
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3110
Mailing Address - Country:US
Mailing Address - Phone:713-781-3517
Mailing Address - Fax:713-783-9025
Practice Address - Street 1:10260 WESTHEIMER RD
Practice Address - Street 2:SUITE 580
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-3110
Practice Address - Country:US
Practice Address - Phone:713-781-3517
Practice Address - Fax:713-783-9025
Is Sole Proprietor?:No
Enumeration Date:2011-07-17
Last Update Date:2015-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7741152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX288167YWZVMedicare PIN