NPI Code Detail JSON Logo

1710974183 NPI number — MARK ROBERT BARLOW OD

NPI Number: 1710974183
Health Care Provider/Practitioner: MARK ROBERT BARLOW OD

Information about “1710974183” NPI (MARK ROBERT BARLOW OD) exists in 1710974183 in HTML format HTML  |  1710974183 in plain Text format TXT  |  1710974183 in PDF (Portable Document Format) PDF  |  1710974183 in an XML format XML  formats.

NPI Number : 1710974183 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1710974183",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "BARLOW",
    "FirstName": "MARK",
    "MiddleName": "ROBERT",
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "OD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "PO BOX 736480",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "CHICAGO",
    "MailingAddressStateName": "IL",
    "MailingAddressPostalCode": "60673-1407",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "314-633-8575",
    "MailingAddressFaxNumber": "314-743-8399",
    "FirstLinePracticeLocationAddress": "7331 WATSON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAINT LOUIS",
    "PracticeLocationAddressStateName": "MO",
    "PracticeLocationAddressPostalCode": "63119-4405",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "314-633-8575",
    "PracticeLocationAddressFaxNumber": "314-362-3725",
    "EnumerationDate": "09/30/2005",
    "LastUpdateDate": "08/21/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "152W00000X",
        "TaxonomyName": "Optometrist",
        "LicenseNumber": "2013007905",
        "LicenseNumberStateCode": "MO",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.