Provider Demographics
NPI:1033882006
Name:BARNES, KATHERINE (OD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
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 1:2504 LITTLEBROOK TRL
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-2187
Mailing Address - Country:US
Mailing Address - Phone:270-315-3020
Mailing Address - Fax:
Practice Address - Street 1:2051 N BECHTLE AVE STE 130
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45504-1583
Practice Address - Country:US
Practice Address - Phone:937-399-8000
Practice Address - Fax:937-399-8160
Is Sole Proprietor?:No
Enumeration Date:2021-07-27
Last Update Date:2022-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOPT.006996152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist