Individual
SANDRA KAY CARMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
104 N FREEMAN AVE, LUVERNE, MN 56156-1628
(507) 283-2345
(507) 283-2346
Mailing address
104 N FREEMAN AVE, LUVERNE, MN 56156-1628
(507) 283-2345
(507) 283-2346
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
606
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4994630
BLUE CROSS BLUE SHIELD
SD
01
—
86M76CA
BCBS
MN
05
—
9203490
—
SD
Enumeration date
04/13/2006
Last updated
11/15/2022
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