Provider Demographics
NPI:1396027082
Name:REEVES, KAREN ROMERO (OD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:ROMERO
Last Name:REEVES
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 1:432 51ST ST W
Mailing Address - Street 2:
Mailing Address - City:PALMETTO
Mailing Address - State:FL
Mailing Address - Zip Code:34221-9797
Mailing Address - Country:US
Mailing Address - Phone:205-516-2566
Mailing Address - Fax:
Practice Address - Street 1:432 51ST ST W
Practice Address - Street 2:
Practice Address - City:PALMETTO
Practice Address - State:FL
Practice Address - Zip Code:34221-9797
Practice Address - Country:US
Practice Address - Phone:205-516-2566
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3014152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist