Individual
RUBEN ERIC CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5201 E BUSCH BLVD, TAMPA, FL 33617-5403
(813) 979-2929
Mailing address
PO BOX 207151, DALLAS, TX 75320-7151
(636) 200-4393
(636) 527-0766
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02373320
—
NY
Enumeration date
04/12/2006
Last updated
12/15/2020
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