Individual
DR. CARRIE ANN MENET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1321 N GALENA AVE, DIXON, IL 61021-1009
(815) 284-1600
Mailing address
1321 N GALENA AVE, DIXON, IL 61021-1009
(815) 284-1600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046010305
IL
152W00000X
Optometrist
2626
OK
Other
Enumeration date
10/13/2009
Last updated
10/28/2011
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