Provider Demographics
NPI:1427208370
Name:CARR & FESSENDEN, O.D., P.A.
Entity Type:Organization
Organization Name:CARR & FESSENDEN, O.D., P.A.
Other - Org Name:PEAREL VISION OF SARASOTA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:RICHARD
Authorized Official - Last Name:CARR
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:941-713-4250
Mailing Address - Street 1:4006 S TAMIAMI TRL
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-3624
Mailing Address - Country:US
Mailing Address - Phone:941-921-4473
Mailing Address - Fax:941-924-1419
Practice Address - Street 1:4006 S TAMIAMI TRL
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-3624
Practice Address - Country:US
Practice Address - Phone:941-921-4473
Practice Address - Fax:941-924-1419
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier