Healthcare Provider Details

I. General information

NPI: 1598759144
Provider Name (Legal Business Name): CHRISTIE LYNN BARTON O.D., F.A.A.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2005
Last Update Date: 11/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

WALTER REED ARMY MEDICAL CENTER ATTN: MCHL-MAO-C 6900 GEORGIA AVE., NW
WASHINGTON DC
20307-0001
US

IV. Provider business mailing address

6900 GEORGIA AVE., NW WALTER REED ARMY MEDICAL CENTER, ATTN: MCHL-MAO-C
WASHINGTON DC
20307-5001
US

V. Phone/Fax

Practice location:
  • Phone: 703-989-0992
  • Fax:
Mailing address:
  • Phone: 703-989-0992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number2260
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: