Provider Demographics
NPI:1679564231
Name:BARCLAY, ARTAMARIE S (OD)
Entity type:Individual
Prefix:DR
First Name:ARTAMARIE
Middle Name:S
Last Name:BARCLAY
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 1:314 9TH ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGDON
Mailing Address - State:PA
Mailing Address - Zip Code:16652-1804
Mailing Address - Country:US
Mailing Address - Phone:814-643-4500
Mailing Address - Fax:814-643-2938
Practice Address - Street 1:314 9TH ST
Practice Address - Street 2:
Practice Address - City:HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:16652-1804
Practice Address - Country:US
Practice Address - Phone:814-643-4500
Practice Address - Fax:814-643-2938
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000630152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAT30171Medicare UPIN
PAFA733088-GROUPMedicare ID - Type Unspecified