MEDICARE: ROBERT M BARTON JR OD

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	332H00000X	Eyewear Supplier		TX

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	:	1023135670
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROBERT M BARTON JR OD

Provider Business Mailing Address
First Line	:	1540 WILDCAT DR
Second Line	:	STE A
City	:	PORTLAND
State	:	TX
Zip	:	78374-2814
Country	:	US
Telephone Number	:	361-643-1516
Fax Number	:	361-643-7479

Provider Business Practice Location Address
First Line	:	1540 WILDCAT DR
Second Line	:	STE A
City	:	PORTLAND
State	:	TX
Zip	:	78374-2814
Country	:	US
Telephone Number	:	361-643-1516
Fax Number	:	361-643-7479

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ROBERT M BARTON JR.
Credential	:	OD
Telephone Number	:	361-643-1516

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	06/23/2008

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