Mccarty, Tina Marie

Mccarty, Tina Marie is an individual health care provider with primary practice located at 1202 Moore Lake Dr E , Fridley MN 55432-5170. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Corneal and Contact Management, Eye and Vision Services Providers / Optometrist. Eye and Vision Services Providers / Corneal and Contact Management is her primary health care specialty. Mccarty, Tina Marie can be contacted via phone (763) 574-0075.

Contact Information

Primary practice address
1202 Moore Lake Dr E Fridley MN 55432-5170
Fax: (763) 574-0594
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X 2837 Minnesota
Eye and Vision Services Providers / Optometrist 152W00000X 2837 Minnesota

Profile Details

NPI number 1720046170
LBN Legal business name Mccarty, Tina Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Feb 19th, 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 1720046170 NPPES
Minnesota Other P00348012 RAILROAD MEDICARE
Minnesota MEDICAID 293648800 RAILROAD MEDICARE

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