Carr, Andrea Lynn

Carr, Andrea Lynn is an individual health care provider with primary practice located at 326 Nichols Rd , Fitchburg MA 01420-1914. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Carr, Andrea Lynn can be contacted via phone (978) 878-8100.

Contact Information

Primary practice address
326 Nichols Rd Fitchburg MA 01420-1914
Fax: (978) 878-8442
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4509 Massachusetts

Profile Details

NPI number 1487675955
LBN Legal business name Carr, Andrea Lynn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 23rd, 2015 - about 9 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 1487675955 NPPES
Massachusetts MEDICAID 0799998

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