Provider Demographics
NPI:1952442964
Name:BARTON, ARLENE DAWN (OD)
Entity Type:Individual
Prefix:DR
First Name:ARLENE
Middle Name:DAWN
Last Name:BARTON
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 1:6780 TRUMBLE RD
Mailing Address - Street 2:
Mailing Address - City:SAINT CLAIR
Mailing Address - State:MI
Mailing Address - Zip Code:48079-4408
Mailing Address - Country:US
Mailing Address - Phone:810-329-4263
Mailing Address - Fax:586-598-3941
Practice Address - Street 1:35445 23 MILE RD
Practice Address - Street 2:
Practice Address - City:NEW BALTIMORE
Practice Address - State:MI
Practice Address - Zip Code:48047-3601
Practice Address - Country:US
Practice Address - Phone:586-716-9101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-11
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003352152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1992976823OtherTOTAL VISION CENTER
MI1952442964Medicaid