Provider Demographics
NPI:1336118918
Name:BARROWS, KEVIN (OD)
Entity Type:Individual
Prefix:
First Name:KEVIN
Middle Name:
Last Name:BARROWS
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 1:5 CREPE MYRTLE CT
Mailing Address - Street 2:
Mailing Address - City:HILTON HEAD ISLAND
Mailing Address - State:SC
Mailing Address - Zip Code:29926-2638
Mailing Address - Country:US
Mailing Address - Phone:404-518-8322
Mailing Address - Fax:
Practice Address - Street 1:4 BLUFFTON RD
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-7621
Practice Address - Country:US
Practice Address - Phone:843-815-3891
Practice Address - Fax:843-815-3897
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-16
Last Update Date:2022-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA-1229-T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA192043225AMedicaid
GA41ZCFNF GRP6408Medicare ID - Type Unspecified
GAU16376Medicare UPIN