Individual
JUSTIN MICHAEL CARRION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
10 LINCOLN SQ, WORCESTER, MA 01608-1135
(508) 373-5830
Mailing address
166 VALLEY ST APT 6A305, PROVIDENCE, RI 02909-2473
(620) 290-3328
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5540
MA
Other
Enumeration date
07/10/2022
Last updated
06/20/2023
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