Individual
KAREN SHIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OP
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DOP D 44
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0194434
DEPT OF LABOR GROUP
AK
01
—
A0330
BLUE CROSS
AK
05
—
OP0593
—
AK
Enumeration date
01/30/2006
Last updated
07/08/2007
Update your record
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