Individual
DR. DAVID SCOTT CARPENTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
310 LOCUST ST, SUITE #6, PRINCETON, WV 24740
(304) 487-2020
(304) 431-2020
Mailing address
310 LOCUST ST., SUITE #6, PRINCETON, WV 24740
(304) 589-6930
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1001-OD
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3101007000
—
WV
01
—
410046671
RAILROAD MEDICARE
WV
01
—
999995836
VSP
WV
Enumeration date
08/25/2006
Last updated
03/01/2011
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