DR. Barry A. Edewaard, O.D.

NPI #1609883800 in Blountstown, Florida

Provider Information

NPI Number: 1609883800
Entity Type: Individual
Name: DR. Barry A. Edewaard, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 1, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 17521 MAIN ST N
City: Blountstown
State: Florida
ZIP Code: 32424-1768
Phone: (850) 674-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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