Carter, Carl C

Carter, Carl C is an sole proprietor health care provider with primary practice located at 3615 W Woolbright Rd , Boynton Beach FL 33436-7244. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carter, Carl C can be contacted via phone (561) 734-1887.

Contact Information

Primary practice address
3615 W Woolbright Rd Boynton Beach FL 33436-7244
Phone: (561) 734-1887
Fax: (561) 736-8991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OP00000879 Florida

Profile Details

NPI number 1194877910
LBN Legal business name Carter, Carl C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2007
Last updated Aug 1st, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194877910 NPPES
Florida MEDICAID 084200100

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