Provider Demographics
NPI:1366539694
Name:ROBERT A BARCLAY & ARTAMARIE S.
Entity type:Organization
Organization Name:ROBERT A BARCLAY & ARTAMARIE S.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARCLAY
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:814-643-4500
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 NINTH STREET
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
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-06
Last Update Date:2013-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG000630152W00000X
PAOEG000631152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA733088OtherMEDICARE ID-TYPE UNSPECIFIED
PA733088OtherMEDICARE ID-TYPE UNSPECIFIED