Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 3314TG | TX |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 3314TG | TX |
N | 152WP0200X | Pediatric Optomitrist | 3314TG | TX |
N | 152WS0006X | Sports Vision | 3314TG | TX |
N | 152WX0102X | Occupational Vision | 3314TG | TX |
NPI | 1083726343 |
---|---|
Provider Name | Dr. Sophia W. Barnes |
First Address | Houston, TX 77027-4717 |
Second Address | Houston, TX 77056-5613 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 22/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U14093 | (02) | TX |