Barton, Trace Adam
Barton, Trace Adam is an individual health care provider with primary practice located at 5389 Woodbine Rd , Pace FL 32571-8765. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Barton, Trace Adam can be contacted via phone (850) 995-3232.Contact Information
Primary practice address
5389 Woodbine Rd
Pace FL 32571-8765
Phone: (850) 995-3232
Fax: (850) 995-2606
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 3208 | Florida |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 3208 | Florida |
Profile Details
| NPI number | 1104911916 |
|---|---|
| LBN Legal business name | Barton, Trace Adam |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Aug 14th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104911916 | NPPES |
| Florida | Other | 20928 | BCBS |
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