Individual
MICHAEL DAVID CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
50 S SAN MATEO DR, SUITE 200, SAN MATEO, CA 94401-3857
(650) 342-4595
(650) 342-3932
Mailing address
50 S SAN MATEO DR, SUITE 200, SAN MATEO, CA 94401-3857
(650) 342-4595
(650) 342-3932
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
9133T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12073314
CAQH
CA
Enumeration date
03/11/2010
Last updated
03/11/2010
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