Provider Demographics
NPI:1639179880
Name:BURCHFIELD, BARNEY R (OD)
Entity Type:Individual
Prefix:DR
First Name:BARNEY
Middle Name:R
Last Name:BURCHFIELD
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:891 WESTMINSTER ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903-4020
Mailing Address - Country:US
Mailing Address - Phone:401-331-7850
Mailing Address - Fax:401-274-4739
Practice Address - Street 1:891 WESTMINSTER ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4020
Practice Address - Country:US
Practice Address - Phone:401-331-7850
Practice Address - Fax:401-274-4739
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOD-T338152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI000373OtherBLUE CHIP
814844OtherMASHANTUCKET PEQUOT TRIBE
22-00961OtherUNITED HEALTH CARE
RIBB32040Medicaid
P00135730OtherRAILROAD/METRA HEALTH
RI0000021525OtherBLUE CROSS BLUE SHIELD
RI2780OtherNEIGHBORHOOD HEALTH PLAN
3313885OtherAETNA US HEALTHCARE
22-00961OtherUNITED HEALTH CARE
3313885OtherAETNA US HEALTHCARE