Provider Demographics
NPI:1699260513
Name:BARNES, ANGELA RACHEL (OD)
Entity type:Individual
Prefix:DR
First Name:ANGELA
Middle Name:RACHEL
Last Name:BARNES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 7TH ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-2046
Mailing Address - Country:US
Mailing Address - Phone:541-944-8882
Mailing Address - Fax:
Practice Address - Street 1:3075 HAMRICK RD
Practice Address - Street 2:
Practice Address - City:CENTRAL POINT
Practice Address - State:OR
Practice Address - Zip Code:97502
Practice Address - Country:US
Practice Address - Phone:541-734-2467
Practice Address - Fax:541-773-2586
Is Sole Proprietor?:No
Enumeration Date:2018-06-22
Last Update Date:2021-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60869314152W00000X
OR4393ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist