Provider Demographics
NPI:1295143477
Name:COLLIER, KARA ALLISON (OD)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:ALLISON
Last Name:COLLIER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:ALLISON
Other - Last Name:DIEBEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5489 LENA RD
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34211-9449
Mailing Address - Country:US
Mailing Address - Phone:941-242-2020
Mailing Address - Fax:
Practice Address - Street 1:3200 S UNIVERSITY DR
Practice Address - Street 2:TERRY BUILDING 1402
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328
Practice Address - Country:US
Practice Address - Phone:954-262-1402
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-31
Last Update Date:2018-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC4943152WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152WP0200XEye and Vision Services ProvidersOptometristPediatrics