Carl C Carter OD PA

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPC879 Issued in FL

Legal business name

CARL C CARTER OD PA

Practice address

3615 W Woolbright Rd
Boynton Beach, FL 33436-7244

Phone

(561) 734-1887

Fax

(561) 736-8991

NPI assigned

Jun 17, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Carl C. Carter, O.D.

Title

Pres.

Phone

(561) 789-3335

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312156800000",
    "number": "1407016033",
    "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",
            "fax_number": "561-736-8991"
        },
        {
            "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": {
        "organization_name": "CARL C CARTER OD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-17",
        "last_updated": "2011-08-01",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "561-789-3335",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084200100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew James Carilli
• Caring Connection of South FL, Inc
• Caring for Geris LLC
• Caring Home Care, Inc.
• Caring Imaging Specialists LLC
• Alexa Hope Carleo, DO
• Sarah Carlin, M.S., CCC-SLP
• Carmion Pope PA
• Carn 360 Services LLC
• Terrence Lenorris Carn Sr., LCSW, MCAP

• 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.