Provider Demographics
NPI:1629060561
Name:SMITH, KAREN B (OD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:B
Last Name:SMITH
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3398 S CORDELL RD
Mailing Address - Street 2:
Mailing Address - City:NEW PALESTINE
Mailing Address - State:IN
Mailing Address - Zip Code:46163-2336
Mailing Address - Country:US
Mailing Address - Phone:765-242-3295
Mailing Address - Fax:
Practice Address - Street 1:1133 N EMERSON AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-6816
Practice Address - Country:US
Practice Address - Phone:317-888-9038
Practice Address - Fax:317-888-9079
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-17
Last Update Date:2021-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN18002568B152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist