Provider Demographics
NPI:1396996203
Name:MAST, BARRY CRAIG (OD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:CRAIG
Last Name:MAST
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 S MILPAS ST
Mailing Address - Street 2:A
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93103-3305
Mailing Address - Country:US
Mailing Address - Phone:805-884-8465
Mailing Address - Fax:805-884-8467
Practice Address - Street 1:1 S MILPAS ST
Practice Address - Street 2:A
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93103-3305
Practice Address - Country:US
Practice Address - Phone:805-884-8465
Practice Address - Fax:805-884-8467
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-09
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8279T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist