Provider Demographics
NPI:1871548677
Name:ADLER, BARRY L (OD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:L
Last Name:ADLER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:861 WILLOW DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-7076
Mailing Address - Country:US
Mailing Address - Phone:919-929-7111
Mailing Address - Fax:919-929-6122
Practice Address - Street 1:861 WILLOW DR
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-7076
Practice Address - Country:US
Practice Address - Phone:919-929-7111
Practice Address - Fax:919-929-6122
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2010-06-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0808152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC09012OtherBLUE CROSS BLUE SHIELD
NC22-50224OtherUNITED HEALTHCARE
NC29027OtherPARTNERS HEALTHPLAN
NC13281OtherCOLE VISION
NC8909012Medicaid
NC09012OtherBLUE CROSS BLUE SHIELD
NC13281OtherCOLE VISION