Provider Demographics
NPI:1710186572
Name:DODGENS, KARA JO (OD)
Entity type:Individual
Prefix:DR
First Name:KARA
Middle Name:JO
Last Name:DODGENS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 896189
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28289-6189
Mailing Address - Country:US
Mailing Address - Phone:864-654-6706
Mailing Address - Fax:
Practice Address - Street 1:15 SOUTHERN CENTER CT
Practice Address - Street 2:
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29642-1533
Practice Address - Country:US
Practice Address - Phone:864-722-1133
Practice Address - Fax:864-343-2074
Is Sole Proprietor?:No
Enumeration Date:2007-07-12
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC1476152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist