Individual
DR. LEE JAMES CARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2745 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-3185
(208) 587-0974
(208) 587-0994
Mailing address
2745 AMERICAN LEGION BLVD, MOUNTAIN HOME, ID 83647-3185
(208) 587-0974
(208) 587-0994
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP-100084
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807254900
—
ID
Enumeration date
09/09/2005
Last updated
02/04/2013
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