Carson, Michael David

Carson, Michael David is an individual health care provider with primary practice located at 50 S San Mateo Dr Suite 200, San Mateo CA 94401-3857. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Carson, Michael David can be contacted via phone (650) 342-4595.

Contact Information

Primary practice address
50 S San Mateo Dr Suite 200 San Mateo CA 94401-3857
Phone: (650) 342-4595
Fax: (650) 342-3932
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 9133T California

Profile Details

NPI number 1942523394
LBN Legal business name Carson, Michael David
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2010
Last updated Mar 11th, 2010 - about 14 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 1942523394 NPPES
California Other 12073314 CAQH

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