Provider Demographics
NPI:1588225130
Name:BARTON, KATHERINE AUSTIN (OD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:AUSTIN
Last Name:BARTON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:ELIZABETH
Other - Last Name:AUSTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1915 PRESIDENTIAL HTS APT 1328
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-8328
Mailing Address - Country:US
Mailing Address - Phone:303-808-5631
Mailing Address - Fax:
Practice Address - Street 1:1803 E CHEYENNE MOUNTAIN BLVD
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-4027
Practice Address - Country:US
Practice Address - Phone:303-808-5631
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-25
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOPT.0003501152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist