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NPI Code Detail

MEDICARE: BARBARA ALLEN COLDIRON O.D.

MEDICARE: BARBARA ALLEN COLDIRON O.D.
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
1152W00000XOptometrist2827TGTX
2152WC0802XCorneal and Contact Management Optometrist2827TGTX
3152WL0500XLow Vision Rehabilitation Optometrist2827TGTX
4152WP0200XPediatric Optometrist2827TGTX
5152WS0006XSports Vision Optometrist2827TGTX
6152WV0400XVision Therapy Optometrist2827TGTX
7152WX0102XOccupational Vision Optometrist2827TGTX

General Provider Information

NPI Number : 1033205414
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARBARA ALLEN COLDIRON O.D.
Provider Business Mailing Address
First Line : 6509 MARBLEWOOD DRIVE
Second Line :
City : AUSTIN
State : TX
Zip : 78731
Country : US
Telephone Number : 512-673-6965
Fax Number :
Provider Business Practice Location Address
First Line : 3908 FAR WEST BLVD
Second Line :
City : AUSTIN
State : TX
Zip : 78731-2994
Country : US
Telephone Number : 512-343-0432
Fax Number : 512-583-0588
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 09/12/2012

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Directions to “ BARBARA ALLEN COLDIRON O.D.” Practice Location

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