Provider Demographics
NPI:1982989034
Name:DUNKS, CARRIE NICOLE (OD)
Entity Type:Individual
Prefix:DR
First Name:CARRIE
Middle Name:NICOLE
Last Name:DUNKS
Suffix:
Gender:F
Credentials:OD
Other - Prefix:MS
Other - First Name:CARRIE
Other - Middle Name:
Other - Last Name:LYSINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1471 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-4009
Mailing Address - Country:US
Mailing Address - Phone:541-686-1237
Mailing Address - Fax:
Practice Address - Street 1:1471 PEARL ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-4009
Practice Address - Country:US
Practice Address - Phone:541-686-1237
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3544ATI152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist