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NPI Code Detail

MEDICARE: DR. BARBARA ANN MASSEY OD

MEDICARE: DR. BARBARA ANN MASSEY 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
1152W00000XOptometrist2170CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1558361766
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BARBARA ANN MASSEY OD
Provider Business Mailing Address
First Line : PO BOX 160
Second Line :
City : SHIPROCK
State : NM
Zip : 87420-0160
Country : US
Telephone Number : 505-368-6337
Fax Number :
Provider Business Practice Location Address
First Line : HIGHWAY 491 NORTH
Second Line :
City : SHIPROCK
State : NM
Zip : 87420
Country : US
Telephone Number : 505-368-6337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 08/10/2021

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Directions to “ DR. BARBARA ANN MASSEY OD” Practice Location

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