Provider Demographics
NPI:1598890493
Name:BARTON, BRIAN K (OD)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:K
Last Name:BARTON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3930 GLADE RD
Mailing Address - Street 2:SUITE 122
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-5931
Mailing Address - Country:US
Mailing Address - Phone:817-267-8778
Mailing Address - Fax:817-283-3033
Practice Address - Street 1:3930 GLADE RD
Practice Address - Street 2:SUITE 122
Practice Address - City:COLLEYVILLE
Practice Address - State:TX
Practice Address - Zip Code:76034-5931
Practice Address - Country:US
Practice Address - Phone:817-267-8778
Practice Address - Fax:817-283-3033
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX4609T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist