Carr, Ian M.

Carr, Ian M. is an individual health care provider with primary practice located at 581 Dudley Pike , Edgewood KY 41017-3296. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Carr, Ian M. can be contacted via phone (859) 341-0888.

Contact Information

Primary practice address
581 Dudley Pike Edgewood KY 41017-3296
Fax: (859) 341-3386
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1725DT Kentucky

Profile Details

NPI number 1104017847
LBN Legal business name Carr, Ian M.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2007
Last updated Jun 17th, 2014 - about 10 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 1104017847 NPPES
Other 11769998 CAQH

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