Provider Demographics
NPI:1821386681
Name:BARNETT, CARY CLAYTON (OD)
Entity Type:Individual
Prefix:DR
First Name:CARY
Middle Name:CLAYTON
Last Name:BARNETT
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 1:6111 RANCH ROAD 620 N STE 100
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78732-1850
Mailing Address - Country:US
Mailing Address - Phone:512-439-2020
Mailing Address - Fax:
Practice Address - Street 1:6111 RANCH ROAD 620 N STE 100
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78732-1850
Practice Address - Country:US
Practice Address - Phone:512-439-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-14
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7750TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX267147Medicare PIN