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NPI Code Detail

MEDICARE: DR. HORATIO THOMAS BARNARD O.D.

MEDICARE:  DR. HORATIO THOMAS BARNARD  O.D.
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
1152WC0802XCorneal and Contact Management OptometristOPC876FL
2152W00000XOptometristOPC876FL

Other Identifiers

General Provider Information

NPI Number : 1861438624
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HORATIO THOMAS BARNARD O.D.
Provider Business Mailing Address
First Line : 701 S RIDGEWOOD AVE
Second Line :
City : DAYTONA BEACH
State : FL
Zip : 32114-5331
Country : US
Telephone Number : 386-253-5999
Fax Number : 386-253-1193
Provider Business Practice Location Address
First Line : 2564 ENTERPRISE RD
Second Line :
City : ORANGE CITY
State : FL
Zip : 32763-7904
Country : US
Telephone Number : 386-774-7242
Fax Number : 376-774-7442
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2006
Last Update Date : 04/12/2018

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Directions to “ DR. HORATIO THOMAS BARNARD O.D.” Practice Location

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