Patricia Ann Carpenter

Primary specialty

OpticianTaxonomy code 156FX1800X

License

23903228 Issued in IL

Practice address

130 N 1St St
Rockford, IL 61107-3900

Phone

(815) 965-2989

NPI assigned

Apr 9, 2008

Last updated

Oct 4, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791072000000",
    "number": "1295908341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 N 1ST ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073900",
            "telephone_number": "815-965-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N 1ST ST",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611073900",
            "telephone_number": "815-965-2989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-09",
        "last_updated": "2026-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "IL",
            "license": "23903228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Rae Carlson, APRN, FNP-BC
• Tammy L Carlson, APRN
• Carmen S Jordan (Core Speech Pathology Services)
• Dawn Marie Carmichael, MSED, LCPC
• Ameshia Nicole Carpenter
• Cheyenne Elizabeth Carr
• Francisco Carrion, MD
• Laura Carroll, PT, DPT
• Raechal Dawn Carroll
• Amy L Carter

• Optician in Rockford, IL
• Providers in Rockford, IL by specialty
• Optician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2026; 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.