Carlson, Nancy

Carlson, Nancy is an individual health care provider with primary practice located at 1255 Boylston St , Boston MA 02215-3468. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Carlson, Nancy can be contacted via phone (617) 262-2020.

Contact Information

Primary practice address
1255 Boylston St Boston MA 02215-3468
Phone: (617) 262-2020
Fax: (617) 236-6323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2619 Massachusetts

Profile Details

NPI number 1801896824
LBN Legal business name Carlson, Nancy
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801896824 NPPES
Massachusetts MEDICAID 0384411

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