Provider Demographics
NPI:1639704232
Name:BARTON EYE CARE LLC
Entity Type:Organization
Organization Name:BARTON EYE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:320-522-0111
Mailing Address - Street 1:2306 S BROADWAY ST STE 12
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:MN
Mailing Address - Zip Code:56308-1883
Mailing Address - Country:US
Mailing Address - Phone:320-763-7782
Mailing Address - Fax:320-763-0504
Practice Address - Street 1:2306 S BROADWAY ST STE 12
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:MN
Practice Address - Zip Code:56308-1883
Practice Address - Country:US
Practice Address - Phone:320-763-7782
Practice Address - Fax:320-763-0504
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty