Robert Lenton Carlsen, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2927 Issued in TN

Practice address

55 N Wolfe Ave BLDG 3925
Edwards AFB, CA 93524-5638

Phone

(661) 277-5091

NPI assigned

Nov 30, 2011

Last updated

Mar 21, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679356800000",
    "number": "1447527734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 NIGHTINGALE RD BLDG 5525",
            "city": "EDWARDS AFB",
            "state": "CA",
            "postal_code": "935240001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 N WOLFE AVE BLDG 3925",
            "city": "EDWARDS AFB",
            "state": "CA",
            "postal_code": "935245638",
            "telephone_number": "661-277-5091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Psc 76 Box 1215",
            "address_purpose": "LOCATION",
            "city": "APO",
            "state": "AE",
            "postal_code": "097200013",
            "country_code": "US",
            "telephone_number": "011351295573554",
            "country_name": "United States",
            "address_type": "MIL"
        },
        {
            "address_1": "1100 Wilford Hall Loop Bldg 4554",
            "address_purpose": "LOCATION",
            "city": "Jbsa Lackland",
            "state": "TX",
            "postal_code": "782365638",
            "country_code": "US",
            "telephone_number": "210-395-9224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLSEN",
        "first_name": "ROBERT",
        "middle_name": "LENTON",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-11-30",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "TN",
            "license": "2927",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY LICENSE",
            "identifier": "2927",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Y. Baird, O.D
• Scott Anthony Baker, PHARMD
• Nisha Ray Baur, DO
• Tiffany Byrd, M.D.
• Stephen Joseph Byrnes, O.D.
• James William Carpenter, M.D.
• Nancyann N Cervantes, PHD
• William Robert Cole, IDMT
• David I Davamony, PSY.D
• Asit Hirenkumar Dave, DO

• Optometrist in Edwards AFB, CA
• Providers in Edwards AFB, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.