Provider Demographics
NPI:1235317439
Name:WRIGHT, BARRY E (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:E
Last Name:WRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 TABBY POINT LN
Mailing Address - Street 2:CALLAWASSIE ISLAND
Mailing Address - City:OKATIE
Mailing Address - State:SC
Mailing Address - Zip Code:29909-4206
Mailing Address - Country:US
Mailing Address - Phone:843-338-3248
Mailing Address - Fax:843-987-3701
Practice Address - Street 1:22 TABBY POINT LN
Practice Address - Street 2:CALLAWASSIE ISLAND
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909-4206
Practice Address - Country:US
Practice Address - Phone:843-338-3248
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC15660207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC156609Medicaid