Organization
DR. JAMES W. CARPENTER, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WILLIAM CARPENTER JR. O.D. (OPTOMETRIST)
(432) 689-0901
Entity
Organization
Contact information
Practice address
2101 N MIDLAND DR STE 8, MIDLAND, TX 79707-5593
(432) 689-0901
(432) 689-0191
Mailing address
2101 N MIDLAND DR STE 8, MIDLAND, TX 79707-5593
(432) 689-0901
(432) 689-0191
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
3118TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00E55L
PTAN
TX
Enumeration date
06/17/2009
Last updated
06/17/2009
Update your record
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