Provider Demographics
NPI:1780095448
Name:MYERS, BARBARA ANNE
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANNE
Last Name:MYERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:785 S POTOMAC ST
Mailing Address - Street 2:
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-6441
Mailing Address - Country:US
Mailing Address - Phone:240-520-8669
Mailing Address - Fax:240-778-2013
Practice Address - Street 1:785 S POTOMAC ST
Practice Address - Street 2:
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-6441
Practice Address - Country:US
Practice Address - Phone:240-520-8669
Practice Address - Fax:240-778-2013
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-15
Last Update Date:2014-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician