Karen Hoblitzell, O.D.
Individual provider Active NPI Optometrist · Rainelle, WV
NPI 1376667378 · NPPES record last updated Jul 26, 2012
Key facts
- NPI
- 1376667378
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- 744-D (WV)
- Practice address
- 1102 Main St
Rainelle, WV 25962-1253 - Phone
- (304) 438-8574
- Fax
- (304) 438-8753
- NPI assigned
- Mar 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121022000274 | WV | Practitioner - Optometry | 1759531197 | Practice locations: Rainelle, WV |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 744-D | WV | MD | Optometrist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 744-D | WV | Yes |
Addresses
Primary practice location
1102 Main St
Rainelle, WV 25962-1253
Mailing address
1102 Main St
Rainelle, WV 25962-1253
Phone (304) 438-8574
Other providers in Rainelle, WV
- Heartland of Rainelle WV LLC
- Heather Gail Heaster
- Brittany Hedrick
- Holly Anne Hendrix
- Tayler Nicole Hiser
- Carrie E Jarrell
- Amara Johnson
- Jordyn Johnson
- Kevin Johnson
- Erin Justice
All providers in Rainelle, WV · Optometrist in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.