Provider Demographics
NPI:1164740148
Name:KAREN MONTAS-ROJAS, OD, PA
Entity Type:Organization
Organization Name:KAREN MONTAS-ROJAS, OD, PA
Other - Org Name:MR VISION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:L
Authorized Official - Last Name:MONTAS-ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:561-968-8462
Mailing Address - Street 1:2070 S MILITARY TRL
Mailing Address - Street 2:SUITE 106
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-6409
Mailing Address - Country:US
Mailing Address - Phone:561-932-0728
Mailing Address - Fax:561-721-1342
Practice Address - Street 1:2070 S MILITARY TRL
Practice Address - Street 2:SUITE 106
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-6409
Practice Address - Country:US
Practice Address - Phone:561-932-0728
Practice Address - Fax:561-721-1342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-14
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC 4354152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL012852100Medicaid
FLDB245AMedicare PIN