Provider Demographics
NPI:1982661476
Name:PERRY, KAREN F (OD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:F
Last Name:PERRY
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:PO BOX 140932
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814
Mailing Address - Country:US
Mailing Address - Phone:407-893-5622
Mailing Address - Fax:407-896-4200
Practice Address - Street 1:2752 E COLONIAL DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803
Practice Address - Country:US
Practice Address - Phone:407-893-6222
Practice Address - Fax:407-896-4200
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2007-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2275152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL20094OtherBCBS
FL20094OtherBCBS
20094YMedicare ID - Type Unspecified