Provider Demographics
NPI:1356541783
Name:PLAYER, CAROLYN RENEE
Entity type:Individual
Prefix:
First Name:CAROLYN
Middle Name:RENEE
Last Name:PLAYER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:837 N HOWARD ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201-4699
Mailing Address - Country:US
Mailing Address - Phone:410-383-0651
Mailing Address - Fax:410-383-0651
Practice Address - Street 1:837 N HOWARD ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-4699
Practice Address - Country:US
Practice Address - Phone:410-383-0651
Practice Address - Fax:410-383-0651
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-24
Last Update Date:2015-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician