Provider Demographics
NPI:1467595033
Name:BARRERA OPTICAL INC
Entity Type:Organization
Organization Name:BARRERA OPTICAL INC
Other - Org Name:TEXAS STATE OPTICAL OF LAREDO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIO
Authorized Official - Middle Name:RAYMUNDO
Authorized Official - Last Name:BARRERA
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:956-723-2020
Mailing Address - Street 1:7309 SAN DARIO AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-7297
Mailing Address - Country:US
Mailing Address - Phone:956-723-2020
Mailing Address - Fax:956-724-4112
Practice Address - Street 1:7309 SAN DARIO AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-7297
Practice Address - Country:US
Practice Address - Phone:956-723-2020
Practice Address - Fax:956-724-4112
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty