Carla Jean Mack, O.D. Valid NPI

Individual provider · Corneal and Contact Management Optometrist · Columbus, OH

NPI

1275520504

Type

Individual (Type 1)

Primary specialty

Corneal and Contact Management Optometrist (Optometrist)

Specialty group

Eye and Vision Services Providers

Taxonomy code

152WC0802X

License number

4662 (OH)

Sex

Female

Sole proprietor

No

Enumerated

2005-10-03

Last updated

2007-07-08