MEDICARE: ERIK S BARRETT M.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	207W00000X	Ophthalmology Physician	01058571A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00203329	OTHER	IN	MEDICARE ID

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	:	1386699882
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIK S BARRETT M.D.

Provider Business Mailing Address
First Line	:	11450 N. MERIDIAN STREET
Second Line	:	STE 120
City	:	CARMEL
State	:	IN
Zip	:	46032-4688
Country	:	US
Telephone Number	:	317-872-8772
Fax Number	:	317-573-6322

Provider Business Practice Location Address
First Line	:	11845 ALLISONVILLE RD
Second Line	:	SUITE 300
City	:	FISHERS
State	:	IN
Zip	:	46038-2313
Country	:	US
Telephone Number	:	317-585-9292
Fax Number	:	317-585-9296

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

Provider Enumeration Date	:	05/23/2006
Last Update Date	:	07/19/2016

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