# CARSON OPTICAL COMPANY

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

## Provider details

- **NPI number:** 1639346406
- **Authorized official:** SHAWN CARSON (MANAGER)
- **Authorized official phone:** (813) 968-5465

## Contact information

- **Practice address:** 201 S KINGS AVE STE 4, BRANDON, FL 33511-5722
- **Practice address phone:** (813) 681-3863
- **Mailing address:** 201 S KINGS AVE STE 4, BRANDON, FL 33511-5722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | FL1402 | FL | Yes |

## Other

- **Enumeration date:** 05/12/2008
- **Last updated:** 04/02/2013