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NPI Code Detail

MEDICARE: KATHERINE AUSTIN BARTON OD

MEDICARE: KATHERINE AUSTIN BARTON 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
1152W00000XOptometristOPT.0003501CO

General Provider Information

NPI Number : 1588225130
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE AUSTIN BARTON OD
Provider Business Mailing Address
First Line : 1915 PRESIDENTIAL HTS APT 1328
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80905-8328
Country : US
Telephone Number : 303-808-5631
Fax Number :
Provider Business Practice Location Address
First Line : 1803 E CHEYENNE MOUNTAIN BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-4027
Country : US
Telephone Number : 303-808-5631
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2019
Last Update Date : 09/04/2019

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Directions to “ KATHERINE AUSTIN BARTON OD” Practice Location

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