Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 1797 | NC |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 1797 | NC |
NPI | 1295812865 |
---|---|
Provider Name | Dr. Karen Elizabeth Jones |
First Address | Charlotte, NC 28213-2102 |
Second Address | Charlotte, NC 28269-1103 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/11/2006 |
Last Update Date | 04/09/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
093JW | BCBS (01) | NE |
89093JW | (05) | NC |
NC1797 | EYEMED PROVIDER NUMBER (01) | NC |
U87522 | (02) | NC |