Provider Demographics
NPI:1619985538
Name:CARTER OPTICAL INC
Entity Type:Organization
Organization Name:CARTER OPTICAL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:214-775-2775
Mailing Address - Street 1:7502 GREENVILLE AVE
Mailing Address - Street 2:STE 700
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75231-3813
Mailing Address - Country:US
Mailing Address - Phone:214-750-1962
Mailing Address - Fax:214-750-1962
Practice Address - Street 1:7502 GREENVILLE AVE
Practice Address - Street 2:STE 700
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-3813
Practice Address - Country:US
Practice Address - Phone:214-750-1962
Practice Address - Fax:214-750-1962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-04
Last Update Date:2008-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332H00000XSuppliersEyewear Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0269630001Medicare NSC