Provider Demographics
NPI:1376667378
Name:HOBLITZELL, KAREN (OD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:
Last Name:HOBLITZELL
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 1:1102 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:RAINELLE
Mailing Address - State:WV
Mailing Address - Zip Code:25962-1253
Mailing Address - Country:US
Mailing Address - Phone:304-438-8574
Mailing Address - Fax:304-438-8753
Practice Address - Street 1:1102 MAIN ST
Practice Address - Street 2:
Practice Address - City:RAINELLE
Practice Address - State:WV
Practice Address - Zip Code:25962-1253
Practice Address - Country:US
Practice Address - Phone:304-438-8574
Practice Address - Fax:304-438-8753
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-17
Last Update Date:2012-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV744-D152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist