Individual
ALEXA A CARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
833 N CASS ST, WABASH, IN 46992
(260) 563-3672
(260) 563-6534
Mailing address
PO BOX 549, WABASH, IN 46992-0549
(260) 569-9550
(260) 569-0760
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18004042
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300004259
—
IN
Enumeration date
06/23/2017
Last updated
08/14/2018
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