Provider Demographics
NPI:1275847345
Name:CARTER, VALENTA LASHAY
Entity Type:Individual
Prefix:DR
First Name:VALENTA
Middle Name:LASHAY
Last Name:CARTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 CUSTER PKWY STE 105
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75080-1079
Mailing Address - Country:US
Mailing Address - Phone:469-929-2900
Mailing Address - Fax:
Practice Address - Street 1:3501 CUSTER PKWY STE 105
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75080-1079
Practice Address - Country:US
Practice Address - Phone:469-929-2900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-01
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7548T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist