Individual
ANTHONY B CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4L PLAZA, SUITE #35, GALESBURG, IL 61401
(309) 343-1179
(309) 343-5287
Mailing address
4L PLAZA, SUITE #35, GALESBURG, IL 61401
(309) 343-1179
(309) 343-5287
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046009984
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
046009984
—
IL
01
—
04821476
BCBS
IL
Enumeration date
07/13/2007
Last updated
08/11/2011
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