Provider Demographics
NPI:1386699882
Name:BARRETT, ERIK S (MD)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:S
Last Name:BARRETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11450 N. MERIDIAN STREET
Mailing Address - Street 2:STE 120
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-4688
Mailing Address - Country:US
Mailing Address - Phone:317-872-8772
Mailing Address - Fax:317-573-6322
Practice Address - Street 1:11845 ALLISONVILLE RD
Practice Address - Street 2:SUITE 300
Practice Address - City:FISHERS
Practice Address - State:IN
Practice Address - Zip Code:46038-2313
Practice Address - Country:US
Practice Address - Phone:317-585-9292
Practice Address - Fax:317-585-9296
Is Sole Proprietor?:No
Enumeration Date:2006-05-23
Last Update Date:2016-07-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN01058571A207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200493070Medicaid
INP00203329OtherMEDICARE ID
IN217840DMedicare ID - Type Unspecified
INP00203329OtherMEDICARE ID