Provider Demographics
NPI:1730268087
Name:BARRY W. RAMSEY
Entity type:Organization
Organization Name:BARRY W. RAMSEY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:WINFIELD
Authorized Official - Last Name:RAMSEY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:336-924-9121
Mailing Address - Street 1:3800 REYNOLDA RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27106-1710
Mailing Address - Country:US
Mailing Address - Phone:336-924-9121
Mailing Address - Fax:336-924-6215
Practice Address - Street 1:3800 REYNOLDA RD
Practice Address - Street 2:SUITE 300
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27106-1710
Practice Address - Country:US
Practice Address - Phone:336-924-9121
Practice Address - Fax:336-924-6215
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2008-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNC0824152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC090914WMedicaid
NC8909750Medicaid
NC2470793CMedicare PIN
NCT64592Medicare UPIN
NC0179060001Medicare NSC
NC090914WMedicaid
NCU73780Medicare UPIN