Provider Demographics
NPI:1487822094
Name:MCDOWELL, KAREN K (OD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:K
Last Name:MCDOWELL
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 1:428 POINCIANA DR
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35209-4150
Mailing Address - Country:US
Mailing Address - Phone:205-871-8383
Mailing Address - Fax:
Practice Address - Street 1:5619 GROVE BLVD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35226-4603
Practice Address - Country:US
Practice Address - Phone:205-560-0680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-16
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS637-TA333152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009910977Medicaid
ALT68986Medicare UPIN