Individual
DR. OLIVIA JEAN BARNHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5300 MEMORIAL DR, TWO RIVERS, WI 54241-3923
(920) 793-7515
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(920) 793-7300
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
3907-35
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100241490
—
WI
Enumeration date
03/27/2023
Last updated
09/05/2023
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