JENNIFER CARTER; NPI #1225208317

Contact Information

JENNIFER CARTER

2625 N HWY 27
WALMART VISION CENTER
LAFAYETTE, GA 30728

Phone: 706-639-4909
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Eyewear Supplier	332H00000X	87	All Other Suppliers

Indicates primary specialty

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NPI Profile & details for JENNIFER CARTER

NPI Number 1225208317

LBN Legal business name JENNIFER CARTER

Authorized official JENNIFER CARTER - (OPTOMETRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 03/05/2008

Last updated 08/05/2008 - About 18 years ago

Identifiers

GA	License #	GA002081
GA	Medicaid	793136480A
GA	Other	5350040001	PTAN MEDICARE NSC

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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JENNIFER CARTER

Contact Information

Specialty

Eyewear Supplier

NPI Profile & details for JENNIFER CARTER

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