Individual provider Active NPI

Karen Lynn Harris, O.D

  • Optometrist
  • Levittown, PA
National Provider Identifier
1033159108
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OOG001003 Issued in PA
Practice address
1409 Lincoln Hwy
Levittown, PA 19056-1137
Phone
(215) 943-4637
Fax
(215) 945-1425
NPI assigned
Jun 7, 2006
Last updated
Sep 6, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X OOG001003 PA Primary

Addresses

Primary practice location

1409 Lincoln Hwy
Levittown, PA 19056-1137

Mailing address

1409 Lincoln Hwy
Levittown, PA 19056-1137
Phone (215) 943-4637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160317002259 PA Order and Referring Only - OptometryPractitioner - Optometry 8729385737

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OOG001003PAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Mark S. Forrest Optometrist Past Accepting new patients
Design for Vision Inc. Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1033159108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 LINCOLN HWY",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190561137",
            "telephone_number": "215-943-4637",
            "fax_number": "215-945-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 LINCOLN HWY",
            "city": "LEVITTOWN",
            "state": "PA",
            "postal_code": "190561137",
            "telephone_number": "215-943-4637",
            "fax_number": "215-945-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRIS",
        "first_name": "KAREN",
        "middle_name": "LYNN",
        "credential": "O.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "PA",
            "license": "OOG001003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, PA

Sources for this page

Verify at the official NPI Registry.