Provider Demographics
NPI:1437834157
Name:CARVER, CULLEN SETH (OD)
Entity Type:Individual
Prefix:
First Name:CULLEN
Middle Name:SETH
Last Name:CARVER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 WOODMERE CREEK LN
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35226-3561
Mailing Address - Country:US
Mailing Address - Phone:270-943-4040
Mailing Address - Fax:
Practice Address - Street 1:1904 MARKET PLATZ CTR SW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-7506
Practice Address - Country:US
Practice Address - Phone:256-615-6988
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALS-F19152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist