Provider Demographics
NPI:1962463018
Name:STRAIN, KARENA K (OD)
Entity Type:Individual
Prefix:MRS
First Name:KARENA
Middle Name:K
Last Name:STRAIN
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 W MARKET ST
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17404-5418
Mailing Address - Country:US
Mailing Address - Phone:717-854-8130
Mailing Address - Fax:717-854-7352
Practice Address - Street 1:1715 W MARKET ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17404-5418
Practice Address - Country:US
Practice Address - Phone:717-854-8130
Practice Address - Fax:717-854-7352
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2014-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001714152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA2000271OtherKEYSTONE
3532648OtherAETNA HMO
7115521OtherAETNA NON HMO
240312OtherHEALTH AMERICA
PA500034841OtherCAPTIAL BLUE CROSS
PA500034841OtherCAPTIAL BLUE CROSS
U40566Medicare UPIN