Myers, Carl O

Myers, Carl O is an individual health care provider with primary practice located at 10343 Dawsons Creek Blvd Ste B, Bldg 6, Fort Wayne IN 46825-1906. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is his primary health care specialty. Myers, Carl O can be contacted via phone (260) 497-7973.

Contact Information

Primary practice address
10343 Dawsons Creek Blvd Ste B, Bldg 6 Fort Wayne IN 46825-1906
Phone: (260) 497-7973
Fax: (260) 497-7986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 18002177A Indiana
Eye and Vision Services Providers / Vision Therapy 152WV0400X 18002177A Indiana

Profile Details

NPI number 1235341058
LBN Legal business name Myers, Carl O
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2007
Last updated Dec 27th, 2018 - 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 1235341058 NPPES
Indiana MEDICAID 200427750A
Indiana Other 1821059320

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