Individual
TYLER SHANE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
87 FAIRWAY DR, WILMINGTON, OH 45177-8941
(937) 282-2433
Mailing address
1489 JEFFERY RD, OREGONIA, OH 45054-9723
(937) 725-9126
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
007375
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/01/2025
Last updated
05/24/2025
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