Provider Demographics
NPI:1891925863
Name:BARKER, WHITNEY J (OD)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:J
Last Name:BARKER
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 1:22741 PROFESSIONAL DR
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-6005
Mailing Address - Country:US
Mailing Address - Phone:281-319-4334
Mailing Address - Fax:281-319-4855
Practice Address - Street 1:22741 PROFESSIONAL DR
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-6005
Practice Address - Country:US
Practice Address - Phone:281-319-4334
Practice Address - Fax:281-319-4855
Is Sole Proprietor?:No
Enumeration Date:2009-07-23
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7391T152W00000X
TX7391TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX204130301Medicaid
TX204130302Medicaid
TX204130303Medicaid
TX82523QOtherBCBS OF TEXAS
TX8L16971Medicare PIN
TX82523QOtherBCBS OF TEXAS
TX204130303Medicaid