Provider Demographics
NPI:1588645543
Name:OPPENHEIM, BARRY (MD)
Entity Type:Individual
Prefix:DR
First Name:BARRY
Middle Name:
Last Name:OPPENHEIM
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 1:842 DURHAM RD
Mailing Address - Street 2:SUITE 7 AND 8
Mailing Address - City:WRIGHTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-9683
Mailing Address - Country:US
Mailing Address - Phone:215-598-0120
Mailing Address - Fax:215-598-0123
Practice Address - Street 1:842 DURHAM RD
Practice Address - Street 2:SUITE 7 AND 8
Practice Address - City:WRIGHTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-9683
Practice Address - Country:US
Practice Address - Phone:215-598-0120
Practice Address - Fax:215-598-0123
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-08
Last Update Date:2010-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD 054231L207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0017428450001Medicaid
PAE67971Medicare UPIN
PA0017428450001Medicaid