Provider Demographics
NPI:1972233898
Name:HAUPT, KAREN (LDO)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:HAUPT
Suffix:
Gender:F
Credentials:LDO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 N. DUNCAN BYPASS
Mailing Address - Street 2:WALMART VISION CENTER
Mailing Address - City:UNION
Mailing Address - State:SC
Mailing Address - Zip Code:29379
Mailing Address - Country:US
Mailing Address - Phone:864-762-5006
Mailing Address - Fax:864-427-0120
Practice Address - Street 1:513 N. DUNCAN BYPASS
Practice Address - Street 2:WALMART VISION CENTER
Practice Address - City:UNION
Practice Address - State:SC
Practice Address - Zip Code:29379
Practice Address - Country:US
Practice Address - Phone:864-762-5006
Practice Address - Fax:864-427-0120
Is Sole Proprietor?:No
Enumeration Date:2022-06-14
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1070156FX1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician