Provider Demographics
NPI:1518336114
Name:CARR, JOANNE (OD, MPH)
Entity Type:Individual
Prefix:DR
First Name:JOANNE
Middle Name:
Last Name:CARR
Suffix:
Gender:F
Credentials:OD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 FAWN LN
Mailing Address - Street 2:
Mailing Address - City:HORSHAM
Mailing Address - State:PA
Mailing Address - Zip Code:19044-1825
Mailing Address - Country:US
Mailing Address - Phone:215-957-1010
Mailing Address - Fax:215-957-1010
Practice Address - Street 1:10 FAWN LN
Practice Address - Street 2:
Practice Address - City:HORSHAM
Practice Address - State:PA
Practice Address - Zip Code:19044-1825
Practice Address - Country:US
Practice Address - Phone:215-957-1010
Practice Address - Fax:215-957-1010
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-24
Last Update Date:2015-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG001043152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist