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NPI Code Detail

MEDICARE: DR. KEVIN BARRIDO O.D.

MEDICARE: DR. KEVIN BARRIDO O.D.
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
1152W00000XOptometristFL 3640FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205895604
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEVIN BARRIDO O.D.
Provider Business Mailing Address
First Line : 4836 SKY BLUE DRIVE
Second Line :
City : LUTZ
State : FL
Zip : 33558
Country : US
Telephone Number : 813-546-1477
Fax Number :
Provider Business Practice Location Address
First Line : 15835 N DALE MABRY HWY
Second Line :
City : TAMPA
State : FL
Zip : 33618-1646
Country : US
Telephone Number : 813-269-9883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 04/06/2010

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