Provider Demographics
NPI:1184797870
Name:BARKER, WILLIAM FRANKLIN (OD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:FRANKLIN
Last Name:BARKER
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 1:15218B CROSSROADS PKWY
Mailing Address - Street 2:
Mailing Address - City:GULFPORT
Mailing Address - State:MS
Mailing Address - Zip Code:39503-3564
Mailing Address - Country:US
Mailing Address - Phone:228-831-5595
Mailing Address - Fax:228-831-5540
Practice Address - Street 1:15218B CROSSROADS PKWY
Practice Address - Street 2:
Practice Address - City:GULFPORT
Practice Address - State:MS
Practice Address - Zip Code:39503-3564
Practice Address - Country:US
Practice Address - Phone:228-831-5595
Practice Address - Fax:228-831-5540
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2013-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS434152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS09015844Medicaid
MS410000145OtherPROVIDER NUMBER
MSU43880Medicare UPIN