Provider Demographics
NPI:1447376488
Name:DEMLA, KARUNA (OPTICIAN)
Entity type:Individual
Prefix:MRS
First Name:KARUNA
Middle Name:
Last Name:DEMLA
Suffix:
Gender:F
Credentials:OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1681 N CENTRAL EXPY
Mailing Address - Street 2:SUITE NO 400
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-3111
Mailing Address - Country:US
Mailing Address - Phone:972-548-8710
Mailing Address - Fax:972-548-9349
Practice Address - Street 1:1681 N CENTRAL EXPY
Practice Address - Street 2:SUITE NO 400
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-3111
Practice Address - Country:US
Practice Address - Phone:972-548-8710
Practice Address - Fax:972-548-9349
Is Sole Proprietor?:No
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX21017OtherAVESIS INSURANCE PIN NUMB
TX8391OtherPEARLE VISION NO.
TXOP0456OtherEYE MED NUMBER