Provider Demographics
NPI:1043306376
Name:REINOLD, KAREN KAPORCH (OD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:KAPORCH
Last Name:REINOLD
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 ENDSLOW LN
Mailing Address - Street 2:
Mailing Address - City:PERKASIE
Mailing Address - State:PA
Mailing Address - Zip Code:18944-2631
Mailing Address - Country:US
Mailing Address - Phone:215-258-0960
Mailing Address - Fax:
Practice Address - Street 1:10 W OAKLAND AVE
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-4209
Practice Address - Country:US
Practice Address - Phone:215-345-8630
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE007423T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA07332835Medicaid
PAU41134Medicare UPIN
PA737925Medicare ID - Type Unspecified