Provider Demographics
NPI:1164215364
Name:ALVAREZ, KAREN A (OD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:ALVAREZ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2750 S PACIFIC AVE STE D
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85365-3547
Mailing Address - Country:US
Mailing Address - Phone:928-782-7557
Mailing Address - Fax:
Practice Address - Street 1:2750 S PACIFIC AVE STE D
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85365-3547
Practice Address - Country:US
Practice Address - Phone:928-782-7557
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-28
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZOPT-002869152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist