Organization
CARLSON OPTOMETRY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY PETER CARLSON O.D. (PRESIDENT)
(530) 533-1975
Entity
Organization
Contact information
Practice address
2200 5TH AVE, OROVILLE, CA 95965-5816
(530) 533-1975
(530) 533-4466
Mailing address
2200 5TH AVE, OROVILLE, CA 95965-5816
(530) 533-1975
(530) 533-4466
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
CA9216
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410010871
RAILROAD MEDICARE
CA
05
—
SD0092160
—
CA
01
—
ZZZ52852Y
BLUE SHIELD
CA
Enumeration date
04/23/2008
Last updated
01/08/2020
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