MEDICARE: DR. BARRY M GAFFNEY OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1410	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033102512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. BARRY M GAFFNEY OD

Provider Business Mailing Address
First Line	:	2002 S ALEXANDER ST
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-8410
Country	:	US
Telephone Number	:	813-754-2957
Fax Number	:

Provider Business Practice Location Address
First Line	:	2002 S ALEXANDER ST
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-8410
Country	:	US
Telephone Number	:	813-754-3593
Fax Number	:	813-754-5464

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/30/2005
Last Update Date	:	03/19/2025

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