Provider Demographics
NPI:1437256955
Name:VANOY, KAREN SMITH (OD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SMITH
Last Name:VANOY
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 1:15933 CLAYTON RD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:BALLWIN
Mailing Address - State:MO
Mailing Address - Zip Code:63011-2172
Mailing Address - Country:US
Mailing Address - Phone:636-200-4393
Mailing Address - Fax:636-527-0766
Practice Address - Street 1:130 WILDWOOD PKWY
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:AL
Practice Address - Zip Code:35209-7187
Practice Address - Country:US
Practice Address - Phone:205-942-0377
Practice Address - Fax:205-945-6775
Is Sole Proprietor?:No
Enumeration Date:2006-09-19
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS865TA419152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL0687510001OtherDME SUPPLIER NUMBER
AL133253OtherEYEMED
AL51077826OtherBCBS
AL1235992OtherFIRST HEALTH
2355980OtherUNITED HEALTHCARE
AL000077826Medicaid
AL630776521OtherUNITED HEALTHCARE
AL7826385OtherAETNA
630776521OtherEIN
2355980OtherUNITED HEALTHCARE
AL51077826OtherBCBS
AL000077826Medicaid