Individual
BRUCE HOWARTH CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
513 MERCHANT ST, VACAVILLE, CA 95688-4511
(707) 448-3451
(707) 448-1304
Mailing address
513 MERCHANT ST, VACAVILLE, CA 95688-4511
(707) 448-3451
(707) 448-1304
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10293T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0102930
—
CA
Enumeration date
07/27/2006
Last updated
07/01/2016
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