# CARL C CARTER OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407016033
- **Authorized official:** DR. CARL C. CARTER O.D. (PRES.)
- **Authorized official phone:** (561) 789-3335

## Contact information

- **Practice address:** 3615 W WOOLBRIGHT RD, BOYNTON BEACH, FL 33436-7244
- **Practice address phone:** (561) 734-1887
- **Practice address fax:** (561) 736-8991
- **Mailing address:** 3691 LONE PINE RD, DELRAY BEACH, FL 33445-7679
- **Mailing address phone:** (561) 789-3335
- **Mailing address fax:** (561) 736-8991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC879 | FL | Yes |

## Other

- **Enumeration date:** 06/17/2008
- **Last updated:** 08/01/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 084200100 | — | FL |