Provider Demographics
NPI:1659002962
Name:ALVAREZ-CARPENTER, JAMES L (OD)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:L
Last Name:ALVAREZ-CARPENTER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:JAMES
Other - Middle Name:L
Other - Last Name:CARPENTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3602 S 19TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-1919
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3602 S 19TH ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-1919
Practice Address - Country:US
Practice Address - Phone:253-759-5555
Practice Address - Fax:253-830-5420
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-19
Last Update Date:2022-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOD61302949152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist