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DR. FRED WILLIAM CARTER OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1063571966

Individual Registrant:
DR. FRED WILLIAM CARTER OD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
293 WILLOW STREET  BISHOP, CA 93514 US
Tel: 760-872-7511  Fax: 760-872-2094

Contact information for business:
293 WILLOW STREET  BISHOP, CA 93514 US
Tel: 760-872-7511  Fax: 760-872-2094

Registration Information:
NPI: 1063571966
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y152W00000XEye and Vision Services Providers
Optometrist
CA5120T

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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