MEDICARE: RYAN CHRISTOPHER 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	152W00000X	Optometrist	046009949	IL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00404130	OTHER	IL	RAILROAD MEDICARE

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
3	1622243	OTHER	IL	BCBS OF IL

General Provider Information

NPI Number	:	1366649162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RYAN CHRISTOPHER BARNES OD

Provider Business Mailing Address
First Line	:	1324 CHERRY DR
Second Line	:
City	:	BATAVIA
State	:	IL
Zip	:	60510-9301
Country	:	US
Telephone Number	:	773-792-1011
Fax Number	:	773-787-1311

Provider Business Practice Location Address
First Line	:	6601 N AVONDALE AVE STE 102
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60631-1567
Country	:	US
Telephone Number	:	773-792-1011
Fax Number	:	773-889-0224

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

Provider Enumeration Date	:	06/27/2007
Last Update Date	:	02/21/2023

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Directions to “ RYAN CHRISTOPHER BARNES OD” Practice Location

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