Provider Demographics
NPI:1548203052
Name:GALVIN, KAREN E (OD)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:E
Last Name:GALVIN
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 1:137 GREENTREE RD
Mailing Address - Street 2:
Mailing Address - City:TURNERSVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08012-1569
Mailing Address - Country:US
Mailing Address - Phone:856-227-5308
Mailing Address - Fax:856-227-7986
Practice Address - Street 1:137 GREENTREE RD
Practice Address - Street 2:
Practice Address - City:TURNERSVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08012-1569
Practice Address - Country:US
Practice Address - Phone:856-227-5308
Practice Address - Fax:856-227-7986
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ27OA00547700152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7738200Medicaid
NJU77440Medicare UPIN