Dr. Carla Hanson Carter, O.D.
Optometrist in Shreveport, LA. Individual provider (NPI-1).
NPI number1902184369
StatusActive
Last updated in NPPESAug 2, 2011
Details
- NPI
- 1902184369
- Entity type
- Individual (NPI-1)
- Name
- Dr. Carla Hanson Carter
- Credential
- O.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 2, 2011
- Last updated
- Aug 2, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 1608-641T | LA | Yes |
Practice location
5848 Line AveShreveport, LA 71106-1532
Phone 318-865-0017 · Fax 318-868-4738
Mailing address
111 Pebble Beach DrBenton, LA 71006-9556
Phone 318-302-9066 · Fax 318-868-4738
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