Provider Demographics
NPI:1245305770
Name:PRESSBURGER, KAREN G (OD)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:G
Last Name:PRESSBURGER
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 1:5610 WILLOW LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2148
Mailing Address - Country:US
Mailing Address - Phone:972-644-2020
Mailing Address - Fax:972-644-5798
Practice Address - Street 1:343 DAL RICH VLG
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-5715
Practice Address - Country:US
Practice Address - Phone:972-644-2020
Practice Address - Fax:972-644-5798
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3283TG152W00000X
KY943DT152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
17449OtherAVESIS ID
11422OtherCOORDINATED VISION
32FBOtherBLUECROSS BLUESHIELD
80518QOtherBLUECROSS BLUESHIELD PPO
117126OtherEYEMED ID
80518QOtherBLUECROSS BLUESHIELD PPO
T91285Medicare UPIN