Individual
KAREN OTTENHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
151 NW 11TH ST, HOMESTEAD, FL 33030-4360
(305) 248-4877
Mailing address
15275 SW 58TH ST, MIAMI, FL 33193-2852
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5776
FL
152W00000X
Optometrist
OPT003174
GA
Other
Enumeration date
07/09/2019
Last updated
08/11/2021
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