Organization Active NPI

Karen S Simon OD PLLC

  • Optometrist
  • Chandler, AZ
National Provider Identifier
1437481801
Registry record updated Feb 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
998 Issued in AZ
Legal business name
KAREN S SIMON OD PLLC
Practice address
1375 S Arizona Ave
Chandler, AZ 85286-6500
Phone
(480) 726-9767
NPI assigned
Feb 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2010

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

Authorized official

Name
Dr. Karen Stonebraker Simon, O.D.
Title
Optometrist
Phone
(480) 726-9767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 998 AZ Primary

Addresses

Primary practice location

1375 S Arizona Ave
Chandler, AZ 85286-6500

Mailing address

20396 E Camina Buena Vis
Queen Creek, AZ 85142-6284
Phone (480) 726-9767

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265673600000",
    "number": "1437481801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20396 E CAMINA BUENA VIS",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426284",
            "telephone_number": "480-726-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 S ARIZONA AVE",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852866500",
            "telephone_number": "480-726-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN S SIMON OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-09",
        "last_updated": "2010-02-09",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "STONEBRAKER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "480-726-9767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "AZ",
            "license": "998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2010; 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.