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Deactivated NPI 1215923867 Deactivated / Inactive NPI Male Practitioner

Dr. Keith David Barker , OD

Optometrist • Clovis, NM

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Keith Barker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 20, 2005
NPI Deactivation Date March 23, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Keith Barker, OD was a registered Optometrist practicing in Clovis, NM. Throughout an active medical career spanning 1 years, Dr. Barker provided care at the practice location at 621 E LLANO ESTACADO BLVD until profile deactivation on 2006-03-23.

Practice Location & Contact Primary Location

Practice Address

621 E Llano Estacado Blvd

Clovis, NM 881010609

Telephone 5757692339
Fax 5757690672
Associated Practice Facility / Clinic
🏢 Keith D. Barker Od Pc Facility NPI 1861659856

Specialty Benchmarks & Practice Insights

Comparative analytics for Optometrist in Clovis, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 42.5 Yrs
State Avg: 22.3 Yrs
Regional Practice Density
7 Specialists

Practicing in Clovis, NM (350 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Optometrist Primary Specialty

NUCC Taxonomy Code: 152W00000X

State License NM 2239

Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0000P1217 (NM)
Commercial Insurance / Payer ID Railroad
410020718 (NM)
Commercial Insurance / Payer ID Vsp
5057692339 (NM)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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Updated Practice Location April 16, 2013

Registered at 621 E LLANO ESTACADO BLVD, CLOVIS, NM 881010609 (Tel: 5757692339)

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Updated Business Mailing Address April 16, 2013

Registered at PO BOX 609, 621 E LLANO ESTACADO BLVD, CLOVIS, NM 881020609 (Tel: 5757692339)

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Provider Name / Credentials Updated April 16, 2013

Recorded as KEITH BARKER, OD

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 16, 2013

Optometrist (License #2239 in NM)

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NPI Profile Reactivated April 11, 2006

Record officially reactivated for active practice on April 11, 2006

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NPI Profile Deactivated March 23, 2006

Record deactivated on March 23, 2006

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Initial NPI Registration & Enumeration September 20, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1215923867
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 20, 2005
Last Update: April 16, 2013
Deactivation Date: March 23, 2006
Sole Proprietor: Yes

Mailing Address

Po Box 609, 621 E Llano Estacado Blvd

Clovis, NM 881020609

Phone: 5757692339

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.