Provider Demographics
NPI:1174645519
Name:HUNT, CAROL (OD)
Entity Type:Individual
Prefix:DR
First Name:CAROL
Middle Name:
Last Name:HUNT
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9069 CAVELL AVE
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48150-4165
Mailing Address - Country:US
Mailing Address - Phone:734-266-9069
Mailing Address - Fax:734-266-9069
Practice Address - Street 1:2069 RAWSONVILLE RD
Practice Address - Street 2:SUITE 240
Practice Address - City:BELLEVILLE
Practice Address - State:MI
Practice Address - Zip Code:48111-2219
Practice Address - Country:US
Practice Address - Phone:734-483-4300
Practice Address - Fax:734-483-2795
Is Sole Proprietor?:No
Enumeration Date:2007-04-05
Last Update Date:2010-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4901003207152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MIN26930141Medicare PIN
MIU25072Medicare UPIN