Provider Demographics
NPI:1992938104
Name:BARNES VISION PLLC
Entity type:Organization
Organization Name:BARNES VISION PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MEMBER/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:865-397-9991
Mailing Address - Street 1:334 HIGHWAY 92 S
Mailing Address - Street 2:STE 7
Mailing Address - City:DANDRIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37725-4571
Mailing Address - Country:US
Mailing Address - Phone:865-397-9991
Mailing Address - Fax:
Practice Address - Street 1:334 HIGHWAY 92 S
Practice Address - Street 2:STE 7
Practice Address - City:DANDRIDGE
Practice Address - State:TN
Practice Address - Zip Code:37725-4571
Practice Address - Country:US
Practice Address - Phone:865-397-9991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-03
Last Update Date:2009-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2857152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty