Provider Demographics
NPI:1164583415
Name:CARSON, RAMA R (OPTOMETRIST)
Entity Type:Individual
Prefix:DR
First Name:RAMA
Middle Name:R
Last Name:CARSON
Suffix:
Gender:F
Credentials:OPTOMETRIST
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4310 BUFFALO GAP RD STE 1450
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79606-2762
Mailing Address - Country:US
Mailing Address - Phone:325-692-1627
Mailing Address - Fax:325-690-9905
Practice Address - Street 1:4310 BUFFALO GAP RD STE 1450
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79606-2762
Practice Address - Country:US
Practice Address - Phone:325-692-1627
Practice Address - Fax:325-690-9905
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6549T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist