Carlson, Scott Michael

Carlson, Scott Michael is an sole proprietor health care provider with primary practice located at 5335 W Rogers Blvd Ste B, Skiatook OK 74070-5285. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management. Eye and Vision Services Providers / Optometrist is his primary health care specialty. Carlson, Scott Michael can be contacted via phone (198) 396-4440.

Contact Information

Primary practice address
5335 W Rogers Blvd Ste B Skiatook OK 74070-5285
Fax: (918) 396-4449
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2211 Oklahoma
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2211 Oklahoma

Profile Details

NPI number 1235243544
LBN Legal business name Carlson, Scott Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 17th, 2006
Last updated Mar 1st, 2017 - about 7 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 1235243544 NPPES
Oklahoma MEDICAID 100767350B

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