Provider Demographics
NPI:1023261815
Name:BARNES TALERO EYECARE INC
Entity type:Organization
Organization Name:BARNES TALERO EYECARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:CRISTINA
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:OPTOMETRIST OD
Authorized Official - Phone:615-915-2916
Mailing Address - Street 1:5722 HICKORY PLZ STE A5
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-8573
Mailing Address - Country:US
Mailing Address - Phone:615-915-2916
Mailing Address - Fax:
Practice Address - Street 1:5722 HICKORY PLZ STE A5
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-8573
Practice Address - Country:US
Practice Address - Phone:615-915-2916
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-24
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1558527960OtherNPI
TN1558527960OtherNPI