Healthcare Provider Details

I. General information

NPI: 1619957446
Provider Name (Legal Business Name): KAREN BLAIR ROSEN O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2006
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 N ALVERNON WAY STE 101
TUCSON AZ
85711-1958
US

IV. Provider business mailing address

440 N ALVERNON WAY STE 101
TUCSON AZ
85711-1958
US

V. Phone/Fax

Practice location:
  • Phone: 520-327-6211
  • Fax:
Mailing address:
  • Phone: 520-327-6211
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number002155
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: