Provider Demographics
NPI:1689981953
Name:BARTHELEMY'S OPTICAL, LLC
Entity Type:Organization
Organization Name:BARTHELEMY'S OPTICAL, LLC
Other - Org Name:DR. AKINTOMIDE APARA, OPHTHALMOLOGIST
Other - Org Type:Other Name
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANASTASIA
Authorized Official - Middle Name:ALYSSE
Authorized Official - Last Name:BARTHELEMY BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-372-6326
Mailing Address - Street 1:2236 BEMISS RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-1942
Mailing Address - Country:US
Mailing Address - Phone:229-249-7907
Mailing Address - Fax:229-241-8891
Practice Address - Street 1:2236 BEMISS RD
Practice Address - Street 2:SUITE A
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31602-1942
Practice Address - Country:US
Practice Address - Phone:229-249-7907
Practice Address - Fax:229-241-8891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-08
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0844152W00000X
GALDO 002099156FX1800X
261QM2500X, 261QS0132X, 332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Multi-Specialty
No261QS0132XAmbulatory Health Care FacilitiesClinic/CenterOphthalmologic Surgery
No332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLME150234OtherOPHTHALMOLOGIST