MEDICARE: DR. SANDRA HARRINGTON BARKER 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
1	152W00000X	Optometrist	OPC1652	FL
2	152WC0802X	Corneal and Contact Management Optometrist	OPC1652	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	:	1194702324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SANDRA HARRINGTON BARKER O.D.

Provider Business Mailing Address
First Line	:	1928 HOWELL BRANCH RD
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-1013
Country	:	US
Telephone Number	:	407-671-5445
Fax Number	:	407-671-2899

Provider Business Practice Location Address
First Line	:	1928 HOWELL BRANCH RD
Second Line	:
City	:	WINTER PARK
State	:	FL
Zip	:	32792-1013
Country	:	US
Telephone Number	:	407-671-5445
Fax Number	:	407-671-2899

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

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	06/17/2010

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