Individual
NANCY CARLSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1255 BOYLSTON ST, BOSTON, MA 02215-3468
(617) 262-2020
(617) 236-6323
Mailing address
1255 BOYLSTON ST, BOSTON, MA 02215-3468
(617) 262-2020
(617) 236-6323
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2619
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0384411
—
MA
Enumeration date
08/01/2005
Last updated
07/08/2007
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