Karen Ann Putila, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

141224 Issued in SC

Practice address

4920 Centre Pointe Dr
N Charleston, SC 29418-6927

Phone

(843) 740-9191

Fax

(724) 740-9172

NPI assigned

Jun 22, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1655856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1689305401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 CENTRE POINTE DR",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294186927",
            "telephone_number": "843-740-9191",
            "fax_number": "724-740-9172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 CENTRE POINTE DR",
            "city": "N CHARLESTON",
            "state": "SC",
            "postal_code": "294186927",
            "telephone_number": "843-740-9191",
            "fax_number": "724-740-9172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTILA",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-22",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "SC",
            "license": "141224",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141224",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert P Prince
• Robert A Pringle Jr., M.D. FACC
• Proactive MD SC,P.a. (Proactive MD)
• Psychmyway
• Karen Huffman Puritis, P.A.
• Karen Anne Raduazo, M.D.
• Tiffany D Ravenel, M.ED
• Erin Pacific Rayfield, R.D.
• Whitney W Reafler
• Jonathan P Rehfuss, M.D.

• Optician in N Charleston, SC
• Providers in N Charleston, SC by specialty
• Optician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.