Organization
T L C FAMILY EYE CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMMY L. CARLSON O.D. (OPTOMETRIST/OWNER)
(570) 785-5367
Entity
Organization
Contact information
Practice address
852 MAIN ST, VANDLING, PA 18421-1549
(570) 785-5367
(570) 785-4201
Mailing address
852 MAIN ST, VANDLING, PA 18421-1549
(570) 785-5367
(570) 785-4201
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000885
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024095920001
—
PA
01
—
DP6301
MEDICARE RR PTAN
PA
Enumeration date
12/18/2007
Last updated
06/18/2025
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