Provider Demographics
NPI:1538148002
Name:BARBER, ANNE R (OD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:R
Last Name:BARBER
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:312 4TH ST SE
Mailing Address - Street 2:SUITE C
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98372-3269
Mailing Address - Country:US
Mailing Address - Phone:253-435-9005
Mailing Address - Fax:253-435-9007
Practice Address - Street 1:312 4TH ST SE
Practice Address - Street 2:SUITE C
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-3269
Practice Address - Country:US
Practice Address - Phone:253-435-9005
Practice Address - Fax:253-435-9007
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-12
Last Update Date:2008-01-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAWA 1794152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2026755Medicaid
WA2026755Medicaid