Barber, Thomas R

Barber, Thomas R is an individual health care provider with primary practice located at 764 Grand Ave , Saint Paul MN 55105-3306. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Barber, Thomas R can be contacted via phone (651) 227-8198.

Contact Information

Primary practice address
764 Grand Ave Saint Paul MN 55105-3306
Phone: (651) 227-8198
Fax: (651) 227-8198
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1389 Minnesota

Profile Details

NPI number 1972622710
LBN Legal business name Barber, Thomas R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972622710 NPPES
Minnesota MEDICAID 31432600
Minnesota Other 22-11679
Minnesota Other 20435BA

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