Provider Demographics
NPI:1972733897
Name:BARNES, RAMIE LEHELEN HAZEL (OD)
Entity Type:Individual
Prefix:DR
First Name:RAMIE
Middle Name:LEHELEN HAZEL
Last Name:BARNES
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:RAMIE
Other - Middle Name:LEHELEN HAZEL
Other - Last Name:LAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:P.O. BOX 450489
Mailing Address - Street 2:
Mailing Address - City:GROVE
Mailing Address - State:OK
Mailing Address - Zip Code:74345
Mailing Address - Country:US
Mailing Address - Phone:918-373-2167
Mailing Address - Fax:918-786-3345
Practice Address - Street 1:1013 SOUTH MAIN
Practice Address - Street 2:
Practice Address - City:GROVE
Practice Address - State:OK
Practice Address - Zip Code:74344
Practice Address - Country:US
Practice Address - Phone:918-786-9777
Practice Address - Fax:918-786-3345
Is Sole Proprietor?:No
Enumeration Date:2009-07-27
Last Update Date:2021-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2608152WV0400X, 152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WV0400XEye and Vision Services ProvidersOptometristVision Therapy