Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Barry L Kavanaugh Jr., ODPA

Individual provider Optometrist · NPI 1124076856

Barry L Kavanaugh Jr., ODPA is an Optometry in West End, North Carolina. Graduated from University Alabama Birmingham - School of Optometry in 1988, 38 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
38
Trained at
University Alabama Birmingham - School of Optometry
Licensed in
NC
In the registry since
2006

Practice location Address checks out

1110 Seven Lakes Dr
West End, NC 27376-9756
Phone: (910) 673-3937
Fax: (910) 673-3266
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 1295 (NC)

Record details

NPI number1124076856
Entity typeIndividual (Type 1)
GenderMale
Credentials ODPA
Sole proprietorYes
NPI enumeratedMay 5, 2006
Last updated in NPPESOctober 7, 2020
Certification dateOctober 7, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolUNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY
Graduated 1988 (38 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in West End