| Doctor Name: | KAREN KEYZER |
| NPI Number: | 1053500512 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 3720 N 124th St Suite F Wauwatosa, WI - 532222100 |
| Business Phone Number: | 4145358134 |
| Business Fax Number: | 4145358135 |
| Mailing Address: | 25 Needham St, NEWTON |
| State: | MA |
| Postal Code: | 024611615 |
| Phone Number: | 6179646681 |
| Fax Number: | 6176300141 |
| NPI Enumeration Date: | 10/22/2007 |
| NPI Last Update Date: | 10/22/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 156FX1800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Eye and Vision Services Providers |
| Taxonomy Classification: | Technician/Technologist |
| Taxonomy Specialization: | Optician |
| Taxonomy Definition: | |