MEDICARE: BARRETT EYE CARE, LLC

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

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	:	1659489367
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BARRETT EYE CARE, LLC

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	:	317-585-9295
Fax Number	:	317-573-6322

Authorized Official
Title or Position	:	OWNER
Name	:	ERIK BARRETT
Credential	:	MD
Telephone Number	:	317-872-8772

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	08/04/2016

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Directions to “BARRETT EYE CARE, LLC ” Practice Location

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