Individual
DR. JOHN D CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2170 HIGHWAY 51 S STE 6, HERNANDO, MS 38632-1108
(662) 449-1384
(662) 449-1385
Mailing address
2170 HIGHWAY 51 S STE 6, HERNANDO, MS 38632-1108
(662) 449-1384
(662) 449-1385
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
671
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00880114
—
MS
01
—
4053594
BCBS OF TN
TN
01
—
7068456
AETNA PIN
MS
01
—
P00697422
RETIRED RAILROAD MEDICARE PTAN
MS
Enumeration date
10/13/2006
Last updated
11/11/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us