Barcus, Gregory R

Barcus, Gregory R is an sole proprietor health care provider with primary practice located at 304 S Parkway Ave , Battle Ground WA 98604-9295. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Barcus, Gregory R can be contacted via phone (360) 687-4901.

Contact Information

Primary practice address
304 S Parkway Ave Battle Ground WA 98604-9295
Fax: (360) 687-6097
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 992 Washington
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 992 Washington

Profile Details

NPI number 1902983562
LBN Legal business name Barcus, Gregory R
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Jul 13th, 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 1902983562 NPPES
Washington MEDICAID 2044501

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