Individual
DR. KAREN M FAILLACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
RT 29 AND RT 3023, DIMOCK, PA 18816-0163
(570) 278-2882
(570) 278-2422
Mailing address
RT 29 AND RT 3023, BOX 163, DIMOCK, PA 18816-0163
(570) 278-2882
(570) 278-2422
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001623
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019241400002
—
PA
01
—
42881
DAVIS VISION
PA
01
—
5702782882
VSP
PA
01
—
622816
BLUECROSS
PA
01
—
83301
GEISINGER
PA
01
—
PA7153
EYEMED
PA
Enumeration date
12/20/2006
Last updated
07/08/2007
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