Provider Demographics
NPI:1528056140
Name:BARRINGER, JOHN BARRY (OD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:BARRY
Last Name:BARRINGER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 12TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:ARDMORE
Mailing Address - State:OK
Mailing Address - Zip Code:73401-5705
Mailing Address - Country:US
Mailing Address - Phone:580-226-3523
Mailing Address - Fax:580-226-3880
Practice Address - Street 1:715 12TH AVE NW
Practice Address - Street 2:
Practice Address - City:ARDMORE
Practice Address - State:OK
Practice Address - Zip Code:73401-5705
Practice Address - Country:US
Practice Address - Phone:580-226-3523
Practice Address - Fax:580-226-3880
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK940152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1528056140OtherMEDICARE PART B (TRAILBLAZER)
OK580000435OtherRAILROAD
OK100766020AMedicaid
OK731183973OtherMEDICARETRAILBLAZER
OK$$$$$$$$$001OtherBLUE CROSS BLUE SHIELD
OK$$$$$$$$$OtherMEDICARE TRAILBLAZER
OK580000435OtherRAILROAD
OK0659120001Medicare NSC
OK$$$$$$$$$Medicare PIN