Carla D Anderson, O.D.
Individual provider Active NPI Optometrist · Atlanta, GA
NPI 1104907062 · NPPES record last updated May 5, 2010
Key facts
- NPI
- 1104907062
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Optometrist 152W00000X
- License
- OPT002289 (GA)
- Practice address
- 3730 Carmia Dr SW
Ste 310
Atlanta, GA 30331-6258 - Phone
- (404) 344-4136
- Fax
- (404) 346-7140
- NPI assigned
- Oct 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OPT002289 | GA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| America'S Best Contacts & Eyeglasses | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | OPT002289 | GA | Yes |
Addresses
Primary practice location
3730 Carmia Dr SW
Ste 310
Atlanta, GA 30331-6258
Mailing address
3730 Carmia Dr SW
Suite 310
Atlanta, GA 30331-6258
Phone (404) 344-4136
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.