Healthcare Provider Details

I. General information

NPI: 1285706432
Provider Name (Legal Business Name): CHARMAIN KAREN WEINBERG O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14050 US HIGHWAY 1 SUITE E
JUNO BEACH FL
33408-1410
US

IV. Provider business mailing address

14050 US HIGHWAY 1 SUITE E
JUNO BEACH FL
33408-1410
US

V. Phone/Fax

Practice location:
  • Phone: 561-622-7220
  • Fax: 561-622-7880
Mailing address:
  • Phone: 561-622-7220
  • Fax: 561-622-7880

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number3063
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: