Provider Demographics
NPI:1609961416
Name:BARTON, CHERYL MCDOWELL (OD)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:MCDOWELL
Last Name:BARTON
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 1:5389 WOODBINE RD
Mailing Address - Street 2:
Mailing Address - City:PACE
Mailing Address - State:FL
Mailing Address - Zip Code:32571-8765
Mailing Address - Country:US
Mailing Address - Phone:850-995-3232
Mailing Address - Fax:850-995-2606
Practice Address - Street 1:5389 WOODBINE RD
Practice Address - Street 2:
Practice Address - City:PACE
Practice Address - State:FL
Practice Address - Zip Code:32571-8765
Practice Address - Country:US
Practice Address - Phone:850-995-3232
Practice Address - Fax:850-995-2606
Is Sole Proprietor?:No
Enumeration Date:2006-10-04
Last Update Date:2020-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3207152W00000X, 152WC0802X, 152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
No152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL20869OtherBCBS
FL20869OtherBCBS
FLE1348YMedicare ID - Type Unspecified
FLU72432Medicare UPIN