NPI Code Details Logo

NPI 1588737944

NPI 1588737944 : LEE EDWARD BARNHART OD : BOTHELL, WA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1588737944
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LEE EDWARD BARNHART OD
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    11/15/2006
-----------------------------------------------------
    Last Update Date     |    07/08/2007
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    10614 BEARDSSLEE BLVD #A
-----------------------------------------------------
    City                 |    BOTHELL
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98011-3296
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    425-485-5101
-----------------------------------------------------
    Fax                  |    425-485-2908
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 1288 
-----------------------------------------------------
    City                 |    BOTHELL
-----------------------------------------------------
    State                |    WA
-----------------------------------------------------
    Zip                  |    98041-1288
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    425-485-5101
-----------------------------------------------------
    Fax                  |    425-485-2908
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    152W00000X
-----------------------------------------------------
    Taxonomy Name        |    Optometrist
-----------------------------------------------------
    License Number       |    993TX
-----------------------------------------------------
    License Number State |    WA
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.