Carl C Carter, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OP00000879 Issued in FL

Practice address

3615 W Woolbright Rd
Boynton Beach, FL 33436-7244

Phone

(561) 734-1887

Fax

(561) 736-8991

NPI assigned

Jan 18, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1194877910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3691 LONE PINE RD",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334457679",
            "telephone_number": "561-789-3335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 W WOOLBRIGHT RD",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367244",
            "telephone_number": "561-734-1887",
            "fax_number": "561-736-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "CARL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OP00000879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084200100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tranice L Carpenter
• Kara Michele Carr, LMT, MMP
• Michael Carraturo, PMHNP-BC
• Amaira Ani Carrero de Lotfi
• Terance Dean Carroll, P.T.
• Jason Jorge Carvalho, MD
• Cary M Zinkin DPM, PA
• Cary M Zinkin DPM, PA
• Casa de ABA-BBM LLC
• Megan Casabe, LCSW

• Optometrist in Boynton Beach, FL
• Providers in Boynton Beach, FL by specialty
• Optometrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.