# MISS CAROLE ANN CASTEEN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407891393
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1100X | Ophthalmic Technician/Technologist | — | NULL | — |
| 156FX1800X | Optician | — | NULL | — |
| 174400000X | Specialist | G50991 | CA | — |
| 207W00000X | Ophthalmology Physician | G50991 | CA | Yes |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |

## Other

- **Enumeration date:** 06/17/2006
- **Last updated:** 10/27/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00G509910 | — | CA |
| 01 | — | 180007011 | MEDICARE RAILROAD | CA |
| 01 | — | ZZZ40586Z | BLUE SHIELD | CA |