Individual
DR. GEOFFREY PETER CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2585 ORO DAM BLVD E, OROVILLE, CA 95966-6005
(530) 922-2020
(530) 922-2021
Mailing address
2585 ORO DAM BLVD E, OROVILLE, CA 95966-6005
(530) 922-2020
(530) 895-1664
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
9216
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518968213
—
CA
01
—
410010871
RAILROAD MEDICARE
CA
01
—
ZZZ52852Y
BLUE SHIELD
CA
Enumeration date
08/03/2005
Last updated
03/08/2021
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