Individual
DONNA G. CARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
1520 N ROCK RUN DR, SUITE 2, CREST HILL, IL 60403-3153
(815) 744-6735
Mailing address
1201 PLEASANT PL, LEMONT, IL 60439-8534
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046008493
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03574
SPECTERA
IL
01
—
115683
EYE MED
IL
01
—
3120
DAVIS VISION
IL
01
—
346484638
VSP
IL
Enumeration date
02/26/2007
Last updated
10/25/2013
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