Provider Demographics
NPI:1982677787
Name:BARNEY, JAMES J (OD)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:J
Last Name:BARNEY
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:PO BOX 680
Mailing Address - Street 2:305 WEST PARK ST
Mailing Address - City:LIVINGTON
Mailing Address - State:MT
Mailing Address - Zip Code:59047
Mailing Address - Country:US
Mailing Address - Phone:406-222-0250
Mailing Address - Fax:406-222-8419
Practice Address - Street 1:305 WEST PARK ST
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:MT
Practice Address - Zip Code:59047
Practice Address - Country:US
Practice Address - Phone:406-222-0250
Practice Address - Fax:406-222-8419
Is Sole Proprietor?:No
Enumeration Date:2006-02-10
Last Update Date:2009-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMT509152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0483800001OtherDMERC MEDICARE SUPPLY
410012452OtherRAILROAD MEDICARE
MT0481871Medicaid
MTMSF0512013OtherMONTANA STATE FUND
MT000027390OtherBCBS
MT000027390OtherBCBS
MTMSF0512013OtherMONTANA STATE FUND