Individual
RAYMOND MARC CAROZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2915 CYPRESS RD, SUITE B, ARKADELPHIA, AR 71923-4228
(870) 246-5090
(870) 246-7421
Mailing address
2915 CYPRESS RD., SUITE B, ARKADELPHIA, AR 71923
(870) 246-5090
(870) 246-7421
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6888T
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316959596
NPI
TX
01
—
49978
AR BCBS
TX
01
—
6888T
STATE LICENSE
TX
01
—
81613Q
TX BCBS
TX
Enumeration date
08/13/2006
Last updated
03/22/2013
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