Healthcare Provider Details

I. General information

NPI: 1952442964
Provider Name (Legal Business Name): ARLENE DAWN BARTON O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/11/2007
Last Update Date: 01/23/2024
Certification Date: 01/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35445 23 MILE RD
NEW BALTIMORE MI
48047-3601
US

IV. Provider business mailing address

6780 TRUMBLE RD
SAINT CLAIR MI
48079-4408
US

V. Phone/Fax

Practice location:
  • Phone: 586-716-9101
  • Fax:
Mailing address:
  • Phone: 810-329-4263
  • Fax: 586-598-3941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number4901003352
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: