Individual
DR. CARL O MYERS
Active
Individual
DR. CARL O MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18002177A
IN
152WV0400X
Vision Therapy Optometrist
Primary
18002177A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821059320
CORPORATION NPI
IN
05
—
200427750A
—
IN
Enumeration date
05/04/2007
Last updated
12/27/2018
Update your record
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