Provider Demographics
NPI:1316115553
Name:KAREN PRESSBURGER , O.D. P.C.
Entity type:Organization
Organization Name:KAREN PRESSBURGER , O.D. P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCCOLLOM
Authorized Official - Suffix:
Authorized Official - Credentials:CPO
Authorized Official - Phone:972-644-2020
Mailing Address - Street 1:343 DAL RICH VLG
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-5715
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
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KAREN PRESSBURGER ,O.D. P.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-11
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3283TG152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
80518QOtherBLUE CROSS BLUE SHIELD PP
PK50833OtherSPECTRA
17449OtherAVESIS
117126OtherEYEMED/ECPA
PK50833OtherSPECTRA
81378EMedicare PIN