MEDICARE: DR. ROBERT JOSEPH BARNES 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	152WC0802X	Corneal and Contact Management Optometrist	1371T	GA
2	152WC0802X	Corneal and Contact Management Optometrist	OP3080	FL

General Provider Information

NPI Number	:	1225161185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ROBERT JOSEPH BARNES OD

Provider Business Mailing Address
First Line	:	650 PONCE DE LEON AVE NE
Second Line	:	SUITE 630A
City	:	ATLANTA
State	:	GA
Zip	:	30308-1804
Country	:	US
Telephone Number	:	404-897-5767
Fax Number	:	404-897-3839

Provider Business Practice Location Address
First Line	:	650 PONCE DE LEON AVE NE
Second Line	:	SUITE 630A
City	:	ATLANTA
State	:	GA
Zip	:	30308-1804
Country	:	US
Telephone Number	:	404-897-5767
Fax Number	:	404-897-3839

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/13/2007
Last Update Date	:	03/07/2023

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