Provider Demographics
NPI:1417966011
Name:KARPIK, DAVID
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:
Last Name:KARPIK
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 S WILLOW ST STE 108
Mailing Address - Street 2:
Mailing Address - City:KENAI
Mailing Address - State:AK
Mailing Address - Zip Code:99611-7798
Mailing Address - Country:US
Mailing Address - Phone:907-283-7575
Mailing Address - Fax:907-283-6156
Practice Address - Street 1:110 S WILLOW ST STE 108
Practice Address - Street 2:
Practice Address - City:KENAI
Practice Address - State:AK
Practice Address - Zip Code:99611-7798
Practice Address - Country:US
Practice Address - Phone:907-283-7575
Practice Address - Fax:907-283-6156
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK245152W00000X, 152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
No152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKOD73191Medicaid
AKOD73191Medicaid