Individual provider Active NPI

Karuna Demla, OPTICIAN

  • Optician
  • McKinney, TX
National Provider Identifier
1447376488
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Practice address
1681 N Central Expy
Suite No 400
McKinney, TX 75070-3111
Phone
(972) 548-8710
Fax
(972) 548-9349
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optician 156FX1800X Primary

Addresses

Primary practice location

1681 N Central Expy
Suite No 400
McKinney, TX 75070-3111

Mailing address

1681 N Central Expy
Suite No 400
McKinney, TX 75070-3111
Phone (972) 548-8710

Other identifiers 3

IdentifierTypeStateIssuer
21017OtherTXAVESIS INSURANCE PIN NUMB
8391OtherTXPEARLE VISION NO.
OP0456OtherTXEYE MED NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pearle Vision 8391 PastSince Sep 29, 2019 Accepting new patients
Kavi Optical LTD 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1447376488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1681 N CENTRAL EXPY",
            "address_2": "SUITE NO 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703111",
            "telephone_number": "972-548-8710",
            "fax_number": "972-548-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1681 N CENTRAL EXPY",
            "address_2": "SUITE NO 400",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750703111",
            "telephone_number": "972-548-8710",
            "fax_number": "972-548-9349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMLA",
        "first_name": "KARUNA",
        "name_prefix": "Mrs.",
        "credential": "OPTICIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVESIS INSURANCE PIN NUMB",
            "identifier": "21017",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEARLE VISION NO.",
            "identifier": "8391",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED NUMBER",
            "identifier": "OP0456",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.