Organization
CARLA R. TESO, OD, PC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARLA RENEE TESO O.D. (PRESIDENT)
(765) 471-8588
Entity
Organization
Contact information
Practice address
2347 VETERANS MEMORIAL PKWY S, LAFAYETTE, IN 47909-9183
(765) 477-9395
(765) 477-9397
Mailing address
2224 DREXEL DR, LAFAYETTE, IN 47909-3903
(765) 471-8588
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18003098
IN
Other
Enumeration date
10/09/2006
Last updated
03/21/2011
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