Provider Demographics
NPI:1760476238
Name:BARRETT, GUY CLAUDE (OD)
Entity Type:Individual
Prefix:DR
First Name:GUY
Middle Name:CLAUDE
Last Name:BARRETT
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 1:10 DUTTON DR
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44502-1818
Mailing Address - Country:US
Mailing Address - Phone:330-746-7691
Mailing Address - Fax:330-746-7104
Practice Address - Street 1:10 DUTTON DR
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-1818
Practice Address - Country:US
Practice Address - Phone:330-746-7691
Practice Address - Fax:330-746-7104
Is Sole Proprietor?:No
Enumeration Date:2005-09-09
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4266T27152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
341605571006OtherMEDICAL MUTUAL
OH000000357112OtherANTHEM
341605571OtherUNITED HEALTH CARE
9261992OtherMEDICARE
OH2317344Medicaid
341605571029OtherCARE SOURCE
OHP00208404OtherRAILROAD MEDICARE
OH2290917Medicaid
OH5991515OtherAETNA
341605571026OtherCARE SOURCE
OH346477OtherANTHEM
C31199OtherRR MEDICARE
OH346477OtherANTHEM
341605571OtherUNITED HEALTH CARE
341605571026OtherCARE SOURCE
OH2290917Medicaid