Organization
DR J. RICHARD CARVER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RICHARD CARVER O.D., P.A. (DOCTOR)
(479) 394-2020
Entity
Organization
Contact information
Practice address
601 MAPLE AVE, MENA, AR 71953-3227
(479) 394-2020
(479) 394-2137
Mailing address
601 MAPLE AVE, MENA, AR 71953-3227
(479) 394-2020
(479) 394-2137
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2033
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103818722
—
AR
01
—
47664
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER (PTAN)
AR
Enumeration date
07/14/2009
Last updated
09/24/2013
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