Provider Demographics
NPI:1609959519
Name:BARBASH, DARA ELIZABETH (OD)
Entity Type:Individual
Prefix:DR
First Name:DARA
Middle Name:ELIZABETH
Last Name:BARBASH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 LYNNHAVEN PKWY
Mailing Address - Street 2:STE F85-B
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23452-7299
Mailing Address - Country:US
Mailing Address - Phone:407-620-2067
Mailing Address - Fax:
Practice Address - Street 1:701 LYNNHAVEN PKWY
Practice Address - Street 2:F85
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23452-7299
Practice Address - Country:US
Practice Address - Phone:757-340-3853
Practice Address - Fax:757-340-3854
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-23
Last Update Date:2016-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618001610152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist