Basic Information
Provider Information
NPI: 1518975242
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TAUGHER
FirstName: KAREN
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: O.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3400 DATA DR
Address2:  
City: RANCHO CORDOVA
State: CA
PostalCode: 956707956
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 6555 COYLE AVE
Address2:  
City: CARMICHAEL
State: CA
PostalCode: 956080302
CountryCode: US
TelephoneNumber: 9165362500
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/05/2006
LastUpdateDate: 02/13/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207W00000XOPT12686CAY Allopathic & Osteopathic PhysiciansOphthalmology 

ID Information
IDTypeStateIssuerDescription
1268601CABLUE CROSSOTHER
220679001CACIGNAOTHER
792958801CAAETNAOTHER
MCMG34330001CAWESTERN HEALTH ADVANTAGEOTHER
00081060807501CAPHCSOTHER
25771801CAINTERPLANOTHER
223801201CAFIRST HEALTHOTHER
9014141801CAPACIFICAREOTHER
10662001CAHEALTH NETOTHER
185057001CAGREAT WESTOTHER
246569101CAUNITED HEALTHCAREOTHER


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