Provider Demographics
NPI:1861592974
Name:BARNETT, JAMES MICHAEL JR (OD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:MICHAEL
Last Name:BARNETT
Suffix:JR
Gender:M
Credentials:OD
Other - Prefix:
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Mailing Address - Street 1:3825 S WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-6510
Mailing Address - Country:US
Mailing Address - Phone:605-335-7757
Mailing Address - Fax:605-335-7922
Practice Address - Street 1:3825 S WESTERN AVE
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-6510
Practice Address - Country:US
Practice Address - Phone:605-335-7757
Practice Address - Fax:605-335-7922
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2007-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SD611152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist