Provider Demographics
NPI:1699111997
Name:KAREN B MURRAY OD INC
Entity type:Organization
Organization Name:KAREN B MURRAY OD INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-248-3900
Mailing Address - Street 1:6175 SOM CENTER RD STE 100
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-2941
Mailing Address - Country:US
Mailing Address - Phone:440-248-3900
Mailing Address - Fax:440-248-3479
Practice Address - Street 1:6175 SOM CENTER RD STE 100
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-2941
Practice Address - Country:US
Practice Address - Phone:440-248-3900
Practice Address - Fax:440-248-3479
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-14
Last Update Date:2013-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3924152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0252024Medicaid
OH0252024Medicaid
OHU36971Medicare UPIN