Doctor Name: | DR. COLBY LEE CARTER |
NPI Number: | 1235210964 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | OD |
License Number: | |
Business Practice Address: | 7317 W 25th St North Riverside, IL - 605461409 |
Business Phone Number: | 7084428899 |
Business Fax Number: | 7084429466 |
Mailing Address: | 3457 N Lincoln Ave # 3, CHICAGO |
State: | IL |
Postal Code: | 606571101 |
Phone Number: | 3127312621 |
Fax Number: | 7084429466 |
NPI Enumeration Date: | 10/18/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 152WC0802X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Optometrist |
Taxonomy Specialization: | Corneal and Contact Management |
Taxonomy Definition: | The professional activities performed by an Optometrist related to the fitting of contact lenses to an eye, ongoing evaluation of the cornea |