Provider Demographics
NPI:1518074905
Name:GEORGE, BARBARA A (OD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:A
Last Name:GEORGE
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:A
Other - Last Name:FORT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:3200 OLD BOYNTON RD
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33436-6506
Mailing Address - Country:US
Mailing Address - Phone:561-737-0510
Mailing Address - Fax:561-742-8627
Practice Address - Street 1:3200 OLD BOYNTON RD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-6506
Practice Address - Country:US
Practice Address - Phone:561-737-0510
Practice Address - Fax:561-742-8627
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC3583152W00000X
GA1976152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL20009ZMedicare ID - Type Unspecified
FLU93226Medicare UPIN
FL20009YMedicare ID - Type Unspecified