Individual
DR. CARLA S SHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2242 TURNBULL RD, BEAVERCREEK, OH 45431-3221
(423) 202-0971
Mailing address
2242 TURNBULL RD, BEAVERCREEK, OH 45431-3221
(423) 202-0971
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TN2532
TN
152WC0802X
Corneal and Contact Management Optometrist
TN2532
TN
152WL0500X
Low Vision Rehabilitation Optometrist
TN2532
TN
152WP0200X
Pediatric Optometrist
TN2532
TN
152WV0400X
Vision Therapy Optometrist
TN2532
TN
152WX0102X
Occupational Vision Optometrist
TN2532
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4115353
BCBS
TN
01
—
5979
OHIO LICENSE
OH
01
—
TN2532
EYEMED
TN
Enumeration date
07/12/2006
Last updated
02/17/2012
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