Provider Demographics
NPI:1760785570
Name:KAREN OPTICAL OF NEW CASTLE
Entity Type:Organization
Organization Name:KAREN OPTICAL OF NEW CASTLE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTICAN
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:HITCHENS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-322-4658
Mailing Address - Street 1:106 PENN MART SHOPPING CTR
Mailing Address - Street 2:
Mailing Address - City:NEW CASTLE
Mailing Address - State:DE
Mailing Address - Zip Code:19720-4209
Mailing Address - Country:US
Mailing Address - Phone:302-322-4658
Mailing Address - Fax:302-322-8939
Practice Address - Street 1:106 PENN MART SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:DE
Practice Address - Zip Code:19720-4209
Practice Address - Country:US
Practice Address - Phone:302-322-4658
Practice Address - Fax:302-322-8939
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-16
Last Update Date:2010-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2010604878332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier