Provider Demographics
NPI:1801949235
Name:BARNETT & GREEN, INC
Entity type:Organization
Organization Name:BARNETT & GREEN, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MGR / OPTICIAN
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-336-6057
Mailing Address - Street 1:16039 CONNEAUT LAKE RD
Mailing Address - Street 2:S 107
Mailing Address - City:MEADVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:16335-3859
Mailing Address - Country:US
Mailing Address - Phone:814-336-6057
Mailing Address - Fax:
Practice Address - Street 1:16039 CONNEAUT LAKE RD
Practice Address - Street 2:S 107
Practice Address - City:MEADVILLE
Practice Address - State:PA
Practice Address - Zip Code:16335-3859
Practice Address - Country:US
Practice Address - Phone:814-336-6057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOpticianGroup - Single Specialty