Provider Demographics
NPI:1689014581
Name:KAREN NECKERS OD
Entity Type:Organization
Organization Name:KAREN NECKERS OD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:NECKERS
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:978-535-9604
Mailing Address - Street 1:12 ELIZABETH LN
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2004
Mailing Address - Country:US
Mailing Address - Phone:978-535-9604
Mailing Address - Fax:978-535-9604
Practice Address - Street 1:210 ANDOVER ST
Practice Address - Street 2:MACYS LENSCRAFTERS
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-1647
Practice Address - Country:US
Practice Address - Phone:978-532-0216
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-25
Last Update Date:2023-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3667152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty