MARTIN WAYNE CARPENTER

FAIRMONT EYE CARE INC

Dr MARTIN WAYNE CARPENTER is a male medical professional, specializing in Optometry. He graduated in 2003 from Southern College Of Optometry.

Contact

FAIRMONT EYE CARE INC

709 MORGANTOWN AVE
FAIRMONT
WV
265544331

Tel: 3043664721

MARTIN WAYNE CARPENTER Information

Npi 1417956210
Pac Id 6901071414
Professional Enrollment Id I20111213000010
Last Name CARPENTER
First Name MARTIN
Middle Name WAYNE
Suffix
Gender M
Credential
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 2003
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name FAIRMONT EYE CARE INC
Group Practice Pac Id 7618093295
Number Of Group Practice Members 2
Line 1 Street Address 709 MORGANTOWN AVE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City FAIRMONT
State WV
Zip Code 265544331
Phone Number 3043664721
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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