Individual
CARSON DAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3957 24TH AVE, FORT GRATIOT, MI 48059-4102
(810) 984-5005
(810) 984-2423
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901005610
MI
152W00000X
Optometrist
OPT.006997
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/30/2021
Last updated
07/01/2022
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