Provider Demographics
NPI:1699837047
Name:SAAD-BARNES, MICHELLE HELENE (OD)
Entity Type:Individual
Prefix:DR
First Name:MICHELLE
Middle Name:HELENE
Last Name:SAAD-BARNES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:MICHELLE
Other - Middle Name:HELENE
Other - Last Name:BARNES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OD
Mailing Address - Street 1:805 S LOGAN BLVD
Mailing Address - Street 2:
Mailing Address - City:HOLLIDAYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16648-3030
Mailing Address - Country:US
Mailing Address - Phone:814-942-7184
Mailing Address - Fax:814-942-7137
Practice Address - Street 1:805 S LOGAN BLVD
Practice Address - Street 2:
Practice Address - City:HOLLIDAYSBURG
Practice Address - State:PA
Practice Address - Zip Code:16648-3030
Practice Address - Country:US
Practice Address - Phone:814-942-7184
Practice Address - Fax:814-942-7137
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2017-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000543152WV0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WV0400XEye and Vision Services ProvidersOptometristVision Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01660472Medicaid
PAU68922Medicare UPIN
PA005456V7PMedicare PIN