Organization Active NPI

Michelle Barnes Optometry, P.C

  • Vision Therapy Optometrist
  • Hollidaysburg, PA
National Provider Identifier
1295859239
Registry record updated Jul 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
OEG000543 Issued in PA
Legal business name
MICHELLE BARNES OPTOMETRY, P.C
Practice address
805 S Logan Blvd
Hollidaysburg, PA 16648-3030
Phone
(814) 942-7184
Fax
(814) 942-7137
NPI assigned
Mar 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michelle Barnes
Title
Ceo
Phone
(814) 327-5466

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X OEG000543 PA Primary

Addresses

Primary practice location

805 S Logan Blvd
Hollidaysburg, PA 16648-3030

Mailing address

805 S Logan Blvd
Hollidaysburg, PA 16648-3030
Phone (814) 942-7184

Other identifiers 2

IdentifierTypeStateIssuer
01660472MedicaidPA
108215OtherPAPETAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070330000437 PA Part B Supplier - Clinic/Group Practice 3971607946 Receives reassigned benefits from 4 practitioners
Practice locations: Hollidaysburg, PA

National Provider Directory

National Provider Directory

Locations

805 S Logan Blvd
Hollidaysburg, PA 16648
Phone (814) 942-7184

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1295859239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S LOGAN BLVD",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166483030",
            "telephone_number": "814-942-7184",
            "fax_number": "814-942-7137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S LOGAN BLVD",
            "city": "HOLLIDAYSBURG",
            "state": "PA",
            "postal_code": "166483030",
            "telephone_number": "814-942-7184",
            "fax_number": "814-942-7137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE BARNES OPTOMETRY, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "814-327-5466"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "PA",
            "license": "OEG000543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01660472",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PETAN",
            "identifier": "108215",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollidaysburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.