Provider Demographics
NPI:1588851976
Name:BARNES, KRISTI MICHELLE (OD)
Entity Type:Individual
Prefix:DR
First Name:KRISTI
Middle Name:MICHELLE
Last Name:BARNES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:KRIST
Other - Middle Name:MICHELLE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:334 HIGHWAY 92 S STE 7
Mailing Address - Street 2:
Mailing Address - City:DANDRIDGE
Mailing Address - State:TN
Mailing Address - Zip Code:37725-4578
Mailing Address - Country:US
Mailing Address - Phone:865-397-9991
Mailing Address - Fax:865-940-1401
Practice Address - Street 1:334 HIGHWAY 92 S STE 7
Practice Address - Street 2:
Practice Address - City:DANDRIDGE
Practice Address - State:TN
Practice Address - Zip Code:37725-4578
Practice Address - Country:US
Practice Address - Phone:865-397-9991
Practice Address - Fax:865-940-1401
Is Sole Proprietor?:No
Enumeration Date:2007-09-28
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1721DT152W00000X
TN2771152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1522049Medicaid