Individual
DR. BRIAN W CARL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2791 S QUEEN ST, DALLASTOWN, PA 17313-9540
(717) 741-4788
(717) 747-9111
Mailing address
2791 S QUEEN ST, DALLASTOWN, PA 17313-9540
(717) 741-4788
(717) 747-0123
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000018
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0165770001
DMERC REGION D
PA
01
—
02146501
BLUE CROSS
PA
01
—
828704
BLUE SHIELD
PA
Enumeration date
09/23/2005
Last updated
03/07/2008
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