Healthcare Provider Details

I. General information

NPI: 1669103032
Provider Name (Legal Business Name): KARLIE BLAIN HOELSCHER OD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2022
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4974 ROSEBUD LN
NEWBURGH IN
47630
US

IV. Provider business mailing address

4974 ROSEBUD LN
NEWBURGH IN
47630-2633
US

V. Phone/Fax

Practice location:
  • Phone: 812-473-6080
  • Fax:
Mailing address:
  • Phone: 812-473-6080
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number18004330A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: