MEDICARE: DR. MARYN JANE'T 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	2044-990AT	LA

General Provider Information

NPI Number	:	1437988128
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MARYN JANE'T BARNES OD

Provider Business Mailing Address
First Line	:	131 QUAIL RUN CT
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70128-3631
Country	:	US
Telephone Number	:	504-756-0932
Fax Number	:

Provider Business Practice Location Address
First Line	:	1530 N BROAD ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-2334
Country	:	US
Telephone Number	:	504-943-0070
Fax Number	:

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

Provider Enumeration Date	:	07/30/2024
Last Update Date	:	07/30/2024

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