Provider Demographics
NPI:1093934499
Name:BRANKLEY, KAREN M (OD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:M
Last Name:BRANKLEY
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:370 MONROEVILLE MALL CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146-2256
Mailing Address - Country:US
Mailing Address - Phone:412-372-1900
Mailing Address - Fax:412-372-1913
Practice Address - Street 1:348 MONROEVILLE MALL CIRCLE DR
Practice Address - Street 2:
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146-2256
Practice Address - Country:US
Practice Address - Phone:412-372-1900
Practice Address - Fax:412-372-1913
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOE-006386-P152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA431499Medicare UPIN