Individual
TANYA LYNNE CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
319 ORANGE RD, MONTCLAIR, NJ 07042-4451
(973) 744-6466
(973) 744-5209
Mailing address
319 ORANGE RD, MONTCLAIR, NJ 07042-4451
(973) 744-6466
(973) 744-5209
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
27OA00480900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0542202
—
NJ
Enumeration date
04/13/2006
Last updated
09/22/2011
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