Provider Demographics
NPI:1851040760
Name:KEENE, KARI ELISE (LDO, ABOC, NCLEC)
Entity Type:Individual
Prefix:MRS
First Name:KARI
Middle Name:ELISE
Last Name:KEENE
Suffix:
Gender:F
Credentials:LDO, ABOC, NCLEC
Other - Prefix:MISS
Other - First Name:KARI
Other - Middle Name:ELISE
Other - Last Name:HOFFMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LDO
Mailing Address - Street 1:1030 ROBIN LN
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-7631
Mailing Address - Country:US
Mailing Address - Phone:803-984-1757
Mailing Address - Fax:803-902-2033
Practice Address - Street 1:1030 ROBIN LN
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-7631
Practice Address - Country:US
Practice Address - Phone:803-984-1757
Practice Address - Fax:803-902-2033
Is Sole Proprietor?:No
Enumeration Date:2022-03-20
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC545156FC0800X
SC1088156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
No156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact Lens