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CRIAG K CARSON OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1548265861

Individual Registrant:
 CRIAG K CARSON OD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1830 STATE HIGHWAY 9  DECORAH, IA 52101-7301 US
Tel: 563-382-2639  Fax: --

Contact information for business:
1836 SOUTH AVE  LA CROSSE, WI 54601-5429 US
Tel: 608-782-7300  Fax: --

Registration Information:
NPI: 1548265861
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
IA1673

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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