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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KEITH DAVID BARKER, OD

Deactivated Sole Proprietor

KEITH DAVID BARKER, OD is a Optometrist healthcare provider located in CLOVIS, New Mexico. NPI 1215923867 is deactivated in the NPPES registry. Verify at CMS.

Optometrist · CLOVIS, NM

This NPI has been deactivated. The record was deactivated on March 23, 2006. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1215923867
Provider Type
Individual
Gender
Male
NPI Issued
Sep 20, 2005 (0.5041095890411 yrs)
Last Updated
Apr 16, 2013
Deactivated
Mar 23, 2006
License
2239 (NM)
Sole Proprietor
Yes

Practice Information

Address
621 E LLANO ESTACADO BLVD
CLOVIS, NM, 881010609
Browse NM providers · Browse ZIP 88101
Phone
5757692339
Fax
5757690672
Primary Specialty
Optometrist
152W00000X

Other Optometrist Providers in CLOVIS, NM

Name Credential NPI
DR. THOMAS GREGORY WILLMON O.D. 1215917323
DIANE C DEWITT O.D. 1265412639
DR. JAMES L SIMNACHER OD, PA 1760434864
DR. JOSEPH THOMAS POPE OD 1700097961
DR. LARRY BUSSANMAS O.D. 1922295419
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.