Individual
DR. TAMMY LYNN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
852 MAIN ST, VANDLING, PA 18421-1549
(570) 785-5367
Mailing address
852 MAIN ST, VANDLING, PA 18421-1549
(570) 785-5367
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000885
PA
152W00000X
Optometrist
TUV0061061
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019400280001
—
PA
01
—
P00775085
MEDICARE RAILROAD PTAN
PA
Enumeration date
03/23/2006
Last updated
06/18/2025
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