Basic Information
Provider Information
NPI: 1295778405
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARAGIANNOPOULOS
FirstName: BARBARA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: O.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1950 OLD GALLOWS RD STE 520
Address2:  
City: VIENNA
State: VA
PostalCode: 221823970
CountryCode: US
TelephoneNumber: 7038478899
FaxNumber:  
Practice Location
Address1: 923 PAOLI PIKE
Address2:  
City: WEST CHESTER
State: PA
PostalCode: 193804527
CountryCode: US
TelephoneNumber: 6106928300
FaxNumber: 6106926007
Other Information
ProviderEnumerationDate: 06/14/2006
LastUpdateDate: 12/06/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/06/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
152W00000XOEG000205PAY Eye and Vision Services ProvidersOptometrist 

No ID Information.


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