Provider Demographics
NPI:1033159108
Name:HARRIS, KAREN LYNN (OD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LYNN
Last Name:HARRIS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1409 LINCOLN HWY
Mailing Address - Street 2:
Mailing Address - City:LEVITTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19056-1137
Mailing Address - Country:US
Mailing Address - Phone:215-943-4637
Mailing Address - Fax:215-945-1425
Practice Address - Street 1:1409 LINCOLN HWY
Practice Address - Street 2:
Practice Address - City:LEVITTOWN
Practice Address - State:PA
Practice Address - Zip Code:19056-1137
Practice Address - Country:US
Practice Address - Phone:215-943-4637
Practice Address - Fax:215-945-1425
Is Sole Proprietor?:No
Enumeration Date:2006-06-07
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOOG001003152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist