Organization
MICHELLE BARNES OPTOMETRY, P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE BARNES (CEO)
(814) 327-5466
Entity
Organization
Contact information
Practice address
805 S LOGAN BLVD, HOLLIDAYSBURG, PA 16648-3030
(814) 942-7184
(814) 942-7137
Mailing address
805 S LOGAN BLVD, HOLLIDAYSBURG, PA 16648-3030
(814) 942-7184
(814) 942-7137
Taxonomy
Speciality
Code
Description
License number
State
152WV0400X
Vision Therapy Optometrist
Primary
OEG000543
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01660472
—
PA
01
—
108215
PETAN
PA
Enumeration date
03/16/2007
Last updated
07/21/2015
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