Karen H Berdan

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

3582 Issued in OH

Legal business name

KAREN H BERDAN

Practice address

205 1/2 S Prospect St
Granville, OH 43023-1423

Phone

(740) 587-4741

Fax

(740) 587-4135

NPI assigned

May 6, 2008

Organization subpart

No

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

Authorized official

Name

Karen H Berdan, O.D.

Title

Owner

Phone

(740) 587-4741

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Granville Vision Center Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenna Katherine Tyler, OD

  • Optometrist
  • Logan, OH
  • NPI 1093243487
  NPD (past)

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210118400000",
    "number": "1730355058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 1/2 S PROSPECT ST",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231423",
            "telephone_number": "740-587-4741",
            "fax_number": "740-587-4135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 1/2 S PROSPECT ST",
            "city": "GRANVILLE",
            "state": "OH",
            "postal_code": "430231423",
            "telephone_number": "740-587-4741",
            "fax_number": "740-587-4135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN H BERDAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-07",
        "status": "A",
        "authorized_official_last_name": "BERDAN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "740-587-4741",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "3582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0658588",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Granville Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christian Robert Jensen, DDS
• Maria Dyan Johnson, MSW, LISW-S,ACHP-SW
• Kalpana Jones, M.D.
• Sheila Lakshmi Jones, LISW
• Stuart James Kanter, DO
• Zachary Aaron Kelm, DO
• Aaron J Kibler, MD
• Peter S Kim, MD
• Samuel Robert Kiner, DDS
• Kortni Talyor Kirtner

• Durable Medical Equipment & Medical Supplies in Granville, OH
• Providers in Granville, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.