Provider Demographics
NPI:1750177804
Name:BARBER, JAMIE (ABO)
Entity type:Individual
Prefix:MR
First Name:JAMIE
Middle Name:
Last Name:BARBER
Suffix:
Gender:
Credentials:ABO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4350 JOSLYN RD
Mailing Address - Street 2:
Mailing Address - City:AUBURN HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48326-1329
Mailing Address - Country:US
Mailing Address - Phone:248-391-0508
Mailing Address - Fax:248-391-0599
Practice Address - Street 1:4350 JOSLYN RD
Practice Address - Street 2:
Practice Address - City:AUBURN HILLS
Practice Address - State:MI
Practice Address - Zip Code:48326-1329
Practice Address - Country:US
Practice Address - Phone:248-391-0508
Practice Address - Fax:248-391-0599
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician