Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 152W00000X | Optometrist | 1094 | SC |
N | 152WC0802X | Optomitrist - Corneal and Contact Lenses | 1728 | NC |
NPI | 1124231105 |
---|---|
Provider Name | Karen U Wint |
First Address | Chapin, SC 29036-9588 |
Second Address | Chapin, SC 29036-9588 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/05/2007 |
Last Update Date | 26/01/2008 |