KEITH DAVID BARKER (NPI# 1215923867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215923867 |
| Entity Type | Individual |
| Full Name | KEITH DAVID BARKER |
| Credential | OD |
| Practice Address |
621 E Llano Estacado Blvd Clovis NM 88101-0609 |
| Mailing Address |
Po Box 609 621 E Llano Estacado Blvd Clovis NM 88102-0609 |
| Practice Telephone | 5757692339 |
| Practice Fax Number | 5757690672 |
| Mailing Telephone | 5757692339 |
| Mailing Fax Number | 5757690672 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2013-04-16 |
| NPI Deactivation Date | 03/23/2006 |
| NPI Reactivation Date | 2006-04-11 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2239 | NM | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 0000P1217 | 05 | |
| NM | RAILROAD | 410020718 | 01 |
| NM | VSP | 5057692339 | 01 |
| Street Address |
621 E LLANO ESTACADO BLVD |
| City | CLOVIS |
| State | NM |
| Zip Code | 88101-0609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861659856 | Keith D. Barker Od PC | Optometrist | 621 E Llano Estacado Blvd, Clovis, NM 88101-3758 | 2008-05-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748692 | Patrick James Scollon | Military Health Care Provider | 104 W D. L. Ingram Ave, Cannon Afb, Nm 88101, Cannon Afb, NM 88101 | 2020-04-14 |
| 1285274878 | Keishla Cota | Physical Therapist | 100 East Manana Blvd, Unit 1, Clovis, NM 88101 | 2020-01-10 |
| 1659927283 | Ndeye Ndour | Nurse Anesthetist, Certified Registered | 2100 N M.l.k. Jr Blvd, Clovis, NM 88101 | 2019-08-09 |
| 1679132468 | Justine Nicole Nunez | Nurse Practitioner | 2301 North Doctor Martin Luther King Boulevard, Clovis, NM 88101 | 2019-06-06 |
| 1518453521 | Moore Psychological Services, Pllc | Social Worker | 1908 West 21st Street, Clovis, NM 88101 | 2018-07-03 |
| 1912494006 | Raesha Russell | Behavior Technician | 214 West 9th St, Clovis, NM 88101 | 2018-04-16 |
| 1013425800 | Vanessa Yardley | Registered Nurse | 2100 N. Martin Luther King Jr. Blvd., Clovis, NM 88101 | 2018-01-16 |
| 1699204230 | Olivia Garcia | Technician, Other | 1100 W 21st Street, Clovis, NM 88101 | 2017-06-07 |
| 1578006250 | Mary Ellen Gray | Technician, Other | 9408 B Vermont Court, Clovis, NM 88101 | 2016-11-29 |
| 1205296977 | Malaney Harmon | Behavioral Analyst | 2700 E 7th St., Clovis, NM 88101 | 2016-02-24 |
| Find all providers in zip 88101 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982216347 | Elizabeth Uribe | Optometrist | 5596 N Wright Ave, Clovis, CA 93619-8730 | 2020-08-18 |
| 1629607080 | Allison Min Chu | Optometrist | 47 W Goshen Ave, Clovis, CA 93611-7196 | 2020-04-06 |
| 1720488802 | Vision Care Center, A Medical Group Inc | Optometrist | 726 North Medical Center Drive West, Suite 101, Clovis, CA 93611-6808 | 2014-08-26 |
| 1952715351 | April Yaeko Fujihara Kahn | Optometrist | 1051 N Harvard Ave, Clovis, CA 93611-7099 | 2014-06-13 |
| 1477675304 | Vision Express, Ltd | Optometrist | 1120 E Manana Blvd, Clovis, NM 88101-3822 | 2007-04-04 |
| 1134286818 | Harold Charles Sivas | Optometrist | 280 Shaw Ave, Suite B, Clovis, CA 93612 | 2007-01-02 |
| 1205802758 | John P Sortor | Optometrist | 684 Medical Center Dr E Ste 104, Clovis, CA 93611-6806 | 2006-02-24 |
| 1952381907 | Wayne Alan Nishio | Optometrist | 145 N Clovis Ave Ste 101, Clovis, CA 93612-0361 | 2006-01-17 |
| 1669466900 | Clovis Vision Associates Pa | Optometrist | 1217 Pile St, Clovis, NM 88101-5944 | 2005-09-01 |
| 1215929831 | Jay Anand Newsome | Optometrist | 145 N Clovis Ave, Suite 101, Clovis, CA 93612-0361 | 2005-08-19 |
| Find all providers in CLOVIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.