Carter, Marilyn A

Carter, Marilyn A is an individual health care provider with primary practice located at 510 S Magnolia Ave , El Cajon CA 92020. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Carter, Marilyn A can be contacted via phone (619) 444-9012.

Contact Information

Primary practice address
510 S Magnolia Ave El Cajon CA 92020
Fax: (619) 444-0232
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4790TPA California

Profile Details

NPI number 1003884776
LBN Legal business name Carter, Marilyn A
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2006
Last updated Apr 3rd, 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 1003884776 NPPES
California MEDICAID 0P4790

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