Doctor Name: | MR. JOHN M CARTER |
NPI Number: | 1124057468 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 003234 |
Business Practice Address: | 52 Oswego St Baldwinsville, NY - 130272437 |
Business Phone Number: | 3156353904 |
Business Fax Number: | 3156355525 |
Mailing Address: | 52 Oswego St, BALDWINSVILLE |
State: | NY |
Postal Code: | 130272437 |
Phone Number: | 3156353904 |
Fax Number: | 3156355525 |
NPI Enumeration Date: | 06/30/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 003234 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |