Jennifer Carter
Organization Active NPI Eyewear Supplier · Lafayette, GA
NPI 1225208317 · NPPES record last updated Aug 5, 2008
Key facts
- NPI
- 1225208317
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Eyewear Supplier 332H00000X
- License
- GA002081 (GA)
- Legal business name
- JENNIFER CARTER
- Practice address
- 2625 N Hwy 27
Walmart Vision Center
Lafayette, GA 30728 - Phone
- (706) 639-4909
- NPI assigned
- Mar 5, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Jennifer Carter, OD
- Title
- Optometrist
- Phone
- (770) 363-8045
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | GA002081 | GA | Yes |
Addresses
Primary practice location
2625 N Hwy 27
Walmart Vision Center
Lafayette, GA 30728
Mailing address
44 Amberwood Dr
Ringgold, GA 30736
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5350040001 | Other | GA | PTAN MEDICARE NSC |
| 793136480A | Medicaid | GA |
Other providers in Lafayette, GA
- Alice Sue Dial
- Fred Joseph Duhon
- Carolyn Lott Florence
- Thomas L Garcia
- Carol M Gobbel
- K -VA -T Food Stores Inc
- Tyler Kellum Levie
- Harrington Littell Jr.
- Lookout Mountain Community Service
- Lookout Mountain Community Services
All providers in Lafayette, GA · Eyewear Supplier in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2008. 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.