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Individual
MISS CAROLE ANN CASTEEN
Active
Individual
MISS CAROLE ANN CASTEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
156FX1100X
Ophthalmic Technician/Technologist
—
NULL
156FX1800X
Optician
—
NULL
174400000X
Specialist
G50991
CA
207W00000X
Ophthalmology Physician
Primary
G50991
CA
332B00000X
Durable Medical Equipment & Medical Supplies
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G509910
—
CA
01
—
180007011
MEDICARE RAILROAD
CA
01
—
ZZZ40586Z
BLUE SHIELD
CA
Enumeration date
06/17/2006
Last updated
10/27/2023
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