Provider Demographics
NPI:1699113621
Name:DR. KAREN A. NORMAN & ASSOC; OPTOMETRIST, INC
Entity type:Organization
Organization Name:DR. KAREN A. NORMAN & ASSOC; OPTOMETRIST, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPTOMETRIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:NORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:410-573-2095
Mailing Address - Street 1:1505 ANNAPOLIS MALL
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-3090
Mailing Address - Country:US
Mailing Address - Phone:410-573-2095
Mailing Address - Fax:
Practice Address - Street 1:1505 ANNAPOLIS MALL
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-3090
Practice Address - Country:US
Practice Address - Phone:410-573-2095
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-06-12
Last Update Date:2013-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty