Provider Demographics
NPI:1932466638
Name:DAVID W. BARBER, O.D., LLC
Entity Type:Organization
Organization Name:DAVID W. BARBER, O.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:W
Authorized Official - Last Name:BARBER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:804-721-9623
Mailing Address - Street 1:10430 MOREHEAD DR
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23831-4228
Mailing Address - Country:US
Mailing Address - Phone:804-721-9623
Mailing Address - Fax:804-737-8595
Practice Address - Street 1:5010 NINE MILE RD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23223-5700
Practice Address - Country:US
Practice Address - Phone:804-721-9623
Practice Address - Fax:804-737-8595
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000151152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty