Provider Demographics
NPI:1982992053
Name:CARDIFF, KARI RENE' (OD)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:RENE'
Last Name:CARDIFF
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 1:6472 WINCHESTER BLVD
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-2004
Mailing Address - Country:US
Mailing Address - Phone:614-837-9595
Mailing Address - Fax:614-837-8205
Practice Address - Street 1:6472 WINCHESTER BLVD
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-2004
Practice Address - Country:US
Practice Address - Phone:614-837-9595
Practice Address - Fax:614-837-8205
Is Sole Proprietor?:No
Enumeration Date:2011-07-11
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6022152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist