Provider Demographics
NPI:1346490679
Name:MCEACHERN, KARA M (OD)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:M
Last Name:MCEACHERN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:M
Other - Last Name:LUOTO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2800 N MAIN ST
Mailing Address - Street 2:MAIN PLACE MALL #104
Mailing Address - City:SANTA ANA
Mailing Address - State:CA
Mailing Address - Zip Code:92705-6607
Mailing Address - Country:US
Mailing Address - Phone:714-547-8129
Mailing Address - Fax:
Practice Address - Street 1:2800 N MAIN ST
Practice Address - Street 2:MAIN PLACE MALL #104
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92705-6607
Practice Address - Country:US
Practice Address - Phone:714-547-8129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2008-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13572152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist