Provider Demographics
NPI:1306152624
Name:JAMES L BARTON LLC
Entity type:Organization
Organization Name:JAMES L BARTON LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:334-222-8561
Mailing Address - Street 1:847 W BYPASS STE D
Mailing Address - Street 2:
Mailing Address - City:ANDALUSIA
Mailing Address - State:AL
Mailing Address - Zip Code:36420-4747
Mailing Address - Country:US
Mailing Address - Phone:334-222-8561
Mailing Address - Fax:334-222-5032
Practice Address - Street 1:847 W BYPASS STE D
Practice Address - Street 2:
Practice Address - City:ANDALUSIA
Practice Address - State:AL
Practice Address - Zip Code:36420-4747
Practice Address - Country:US
Practice Address - Phone:334-222-8561
Practice Address - Fax:334-222-5032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-24
Last Update Date:2024-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-C27-TA-849152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL121925Medicaid
AL121925Medicaid