Provider Demographics
NPI:1700859311
Name:BARBER, VERONICA JOANN (OD)
Entity Type:Individual
Prefix:DR
First Name:VERONICA
Middle Name:JOANN
Last Name:BARBER
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 1:1221 PLEASANT GROVE BLVD STE 150
Mailing Address - Street 2:
Mailing Address - City:ROSEVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95678-7215
Mailing Address - Country:US
Mailing Address - Phone:916-797-3937
Mailing Address - Fax:916-797-3944
Practice Address - Street 1:1221 PLEASANT GROVE BLVD STE 150
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95678-7215
Practice Address - Country:US
Practice Address - Phone:916-797-3937
Practice Address - Fax:916-797-3944
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA11858T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGSD000280Medicaid
CAGSD000280Medicaid
CAV07026Medicare UPIN