Provider Demographics
NPI:1598947319
Name:BEST, KAREN ELIZABETH (OD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ELIZABETH
Last Name:BEST
Suffix:
Gender:F
Credentials:OD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:ELIZABETH
Other - Last Name:BORO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:1507 HERSHBERGER RD NW
Mailing Address - Street 2:UNIT C
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24012-7319
Mailing Address - Country:US
Mailing Address - Phone:540-362-1030
Mailing Address - Fax:540-362-5574
Practice Address - Street 1:1507 HERSHBERGER RD NW
Practice Address - Street 2:UNIT C
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24012-7319
Practice Address - Country:US
Practice Address - Phone:540-362-1030
Practice Address - Fax:540-362-5574
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-04
Last Update Date:2014-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0618000577152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA009235787Medicaid
VA248702OtherANTHEM
VA283768OtherANTHEM
VA283775OtherANTHEM
VA283775OtherANTHEM
VA283768OtherANTHEM
VAU71190Medicare UPIN