# KAREN D DETWILER OD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780906032
- **Authorized official:** DR. KAREN D DETWILER O.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (850) 561-5030

## Contact information

- **Practice address:** 410 W TENNESSEE ST, TALLAHASSEE, FL 32301-1026
- **Practice address phone:** (850) 561-5030
- **Practice address fax:** (850) 561-0770
- **Mailing address:** 410 W TENNESSEE ST, TALLAHASSEE, FL 32301-1026
- **Mailing address phone:** (850) 561-5030
- **Mailing address fax:** (850) 561-0770

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1733 | FL | Yes |

## Other

- **Enumeration date:** 02/26/2010
- **Last updated:** 06/17/2010
