Richard Scott Carlson OD

NPI 1073515938 - Optometrist - 152W00000X

NPI Details
NPI 1073515938
Gender Male
Enumeration Date 08/11/2005
Last Updated 01/14/2011
Entity Type Individual
Active Over 11 years ago
Practice Location
502 MARQUETTE ST
VALPARAISO IN, 46383-2509, US
Phone (219) 464-8223
Fax (219) 531-2356
Business Location
502 MARQUETTE ST
VALPARAISO IN, 46383-2509, US
Phone (219) 464-8223
Fax (219) 531-2356
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046009441
Remove 1073515938 NPI Number
 

According to our database, Dr. Richard Scott Carlson OD NPI is 1073515938, taxonomy code is 152W00000X and license number is 046009441, license state is located at Illinois. Richard Scott Carlson OD physically located at 502 Marquette St, Valparaiso IN, 46383-2509. NPI Number Richard Scott Carlson OD has the Individual type.

Sponsored links

1073515938 NPI number is provided on an as is basis without warranty of any kind. 1073515938 is maintained by the National Plan & Provider Enumeration System. The contents of Richard Scott Carlson OD are for informational purposes only.