Organization Active NPI

Karen Optical, Inc.

  • Optician
  • Bear, DE
National Provider Identifier
1114007374
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
KAREN OPTICAL, INC.
Practice address
412 Fox Hunt Dr
Bear, DE 19701-2538
Phone
(302) 834-7717
Fax
(302) 834-7701
NPI assigned
Oct 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Linda Hazen
Title
Vice President
Phone
(302) 834-7717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X DE Primary

Addresses

Primary practice location

412 Fox Hunt Dr
Bear, DE 19701-2538

Mailing address

412 Fox Hunt Dr
Bear, DE 19701-2538
Phone (302) 834-7717

Other identifiers 4

IdentifierTypeStateIssuer
36160OtherDEDAVIS VISION
0000094522MedicaidDE
908036OtherDEBLOCK VISION
232701OtherDEOPTICHOICE

National Provider Directory

National Provider Directory

Locations

412 Foxhunt Dr
Bear, DE 19701
Phone (302) 834-7717

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114007374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 FOX HUNT DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012538",
            "telephone_number": "302-834-7717",
            "fax_number": "302-834-7701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 FOX HUNT DR",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197012538",
            "telephone_number": "302-834-7717",
            "fax_number": "302-834-7701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAZEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "302-834-7717",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "DE",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS VISION",
            "identifier": "36160",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000094522",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "908036",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICHOICE",
            "identifier": "232701",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bear, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.