Provider Demographics
NPI:1396701959
Name:DRS BARNES & CARTER LLC
Entity type:Organization
Organization Name:DRS BARNES & CARTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRISTS/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TANYA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:973-744-6466
Mailing Address - Street 1:319 ORANGE RD
Mailing Address - Street 2:
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-4451
Mailing Address - Country:US
Mailing Address - Phone:973-744-6466
Mailing Address - Fax:973-744-5209
Practice Address - Street 1:319 ORANGE RD
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-4451
Practice Address - Country:US
Practice Address - Phone:973-744-6466
Practice Address - Fax:973-744-5209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2008-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ5540210001Medicare NSC