NPI | 1396994323 |
---|---|
Doing Business As | JERRRY B. CARTER, O.D. |
Entity Type | Organization |
Authorized Contact | JERRY B CARTER Owner 918-333-9292 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: OK 1079) |
Enumeration Date | 2008-09-15 |
Last Update Date | 2008-09-15 |