Provider Demographics
NPI:1396171567
Name:BARKER, FRANCES MAUREEN (LDO)
Entity type:Individual
Prefix:MRS
First Name:FRANCES
Middle Name:MAUREEN
Last Name:BARKER
Suffix:
Gender:F
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 2005
Mailing Address - Street 2:2189 DAVIS RD
Mailing Address - City:DUNLAP
Mailing Address - State:TN
Mailing Address - Zip Code:37327
Mailing Address - Country:US
Mailing Address - Phone:423-580-7822
Mailing Address - Fax:423-949-2519
Practice Address - Street 1:2189 DAVIS RD
Practice Address - Street 2:
Practice Address - City:DUNLAP
Practice Address - State:TN
Practice Address - Zip Code:37327-4517
Practice Address - Country:US
Practice Address - Phone:423-580-7822
Practice Address - Fax:423-949-2519
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-19
Last Update Date:2013-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1511156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1511OtherTENNESSEE DISPENSING OPTICIAN LICENSE