Provider Demographics
NPI:1043462161
Name:SONJA P. CARLETON, OPTICIAN
Entity Type:Organization
Organization Name:SONJA P. CARLETON, OPTICIAN
Other - Org Name:SUNSHINE EYEWEAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROPRIETOR/MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SONJA
Authorized Official - Middle Name:PATRICIA
Authorized Official - Last Name:CARLETON
Authorized Official - Suffix:
Authorized Official - Credentials:CERTIFIED OPTICIAN
Authorized Official - Phone:603-543-3639
Mailing Address - Street 1:PO BOX 148
Mailing Address - Street 2:57 MAIN STREET
Mailing Address - City:NEWPORT
Mailing Address - State:NH
Mailing Address - Zip Code:03773-0148
Mailing Address - Country:US
Mailing Address - Phone:603-863-7770
Mailing Address - Fax:
Practice Address - Street 1:57 MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:NH
Practice Address - Zip Code:03773-1519
Practice Address - Country:US
Practice Address - Phone:603-863-7770
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH457332H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier