Provider Demographics
NPI:1699943704
Name:JOHN B. BARRINGER OD PC
Entity type:Organization
Organization Name:JOHN B. BARRINGER OD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:B
Authorized Official - Last Name:BARRINGER
Authorized Official - Suffix:
Authorized Official - Credentials:OD PC
Authorized Official - Phone:580-226-3523
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK940152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK448527050OtherTRAILBLAZER MEDICARE
OK448527050001OtherBLUE CROSS BLUE SHIELD
OK580000435OtherRAILROAD
OK448527050OtherMEDICARE X
OK100766020AMedicaid
OK0659120001Medicare NSC
OK448527050001OtherBLUE CROSS BLUE SHIELD