Provider Demographics
NPI:1689849788
Name:HENRY J. CARTER, O.D., APC
Entity Type:Organization
Organization Name:HENRY J. CARTER, O.D., APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:HENRY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:CARTER
Authorized Official - Suffix:
Authorized Official - Credentials:OD, MS
Authorized Official - Phone:337-349-6414
Mailing Address - Street 1:309 THIBODEAUX DR
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70503-4444
Mailing Address - Country:US
Mailing Address - Phone:337-349-6414
Mailing Address - Fax:
Practice Address - Street 1:309 THIBODEAUX DR
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-4444
Practice Address - Country:US
Practice Address - Phone:337-349-6414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-29
Last Update Date:2008-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1218-381T152WC0802X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152WC0802XEye and Vision Services ProvidersOptometristCorneal and Contact ManagementGroup - Single Specialty