Carter, Lee James

Carter, Lee James is an individual health care provider with primary practice located at 2745 American Legion Blvd , Mountain Home ID 83647-3185. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carter, Lee James can be contacted via phone (208) 587-0974.

Contact Information

Primary practice address
2745 American Legion Blvd Mountain Home ID 83647-3185
Phone: (208) 587-0974
Fax: (208) 587-0994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X ODP-100084 Idaho

Profile Details

NPI number 1891789368
LBN Legal business name Carter, Lee James
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2005
Last updated Feb 4th, 2013 - about 13 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 1891789368 NPPES
Idaho MEDICAID 807254900

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