Doctor Name: | MRS. TINA TERESE BROWN-CARTER |
NPI Number: | 1225161318 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OPTICIAN |
License Number: | 5113 |
Business Practice Address: | 333 1/2 N Garfield Avenue East Rochester, NY - 144451315 |
Business Phone Number: | 5854149609 |
Business Fax Number: | |
Mailing Address: | Po Box 10494, ROCHESTER |
State: | NY |
Postal Code: | 146100494 |
Phone Number: | 5854149609 |
Fax Number: | |
NPI Enumeration Date: | 03/14/2007 |
NPI Last Update Date: | 12/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 5113 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |