Provider Demographics
NPI:1407062904
Name:MCMAHON, CARRIE E (OD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:E
Last Name:MCMAHON
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:115 N SANDUSKY ST
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-1732
Mailing Address - Country:US
Mailing Address - Phone:740-513-4750
Mailing Address - Fax:740-513-4760
Practice Address - Street 1:115 N SANDUSKY ST
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-1732
Practice Address - Country:US
Practice Address - Phone:740-513-4750
Practice Address - Fax:740-513-4760
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2021-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH5224152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist