Provider Demographics
NPI:1629514112
Name:CARTERET VISION CENTER
Entity Type:Organization
Organization Name:CARTERET VISION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:RUDI
Authorized Official - Last Name:CHRISTENSEN
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:252-247-4661
Mailing Address - Street 1:5053 EXECUTIVE DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:MOREHEAD CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28557-2503
Mailing Address - Country:US
Mailing Address - Phone:252-247-4661
Mailing Address - Fax:252-247-3776
Practice Address - Street 1:5053 EXECUTIVE DR
Practice Address - Street 2:SUITE A
Practice Address - City:MOREHEAD CITY
Practice Address - State:NC
Practice Address - Zip Code:28557-2503
Practice Address - Country:US
Practice Address - Phone:252-247-4661
Practice Address - Fax:252-247-3776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-09
Last Update Date:2017-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Multi-Specialty