John D Carlson, OD Valid NPI
Individual provider · Optometrist · Hernando, MS
- NPI
- 1467542241
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 671 (MS)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-10-13
- Last updated
- 2014-11-11
Practice location
2170 Highway 51 S Ste 6
Hernando, MS 38632-1108
(662) 449-1384