Individual
CHAD A CARLSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
710 HOPEWELL DR STE 106, CHARLESTON, SC 29492-7108
(843) 543-6333
(843) 543-6332
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
(239) 496-3939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2242
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11555337
CAQH
—
Enumeration date
09/30/2005
Last updated
06/24/2026
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