Individual
DR. MATTHEW DAVID CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2501 N 45TH ST, SEATTLE, WA 98103-6909
(206) 526-5222
Mailing address
2501 N 45TH ST, SEATTLE, WA 98103-6909
(206) 526-5222
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OD60373317
WA
152WP0200X
Pediatric Optometrist
Primary
OD60373317
WA
Other
Enumeration date
04/18/2012
Last updated
07/10/2013
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