JERRY D CARLSON OD

Dr JERRY D CARLSON OD is a male medical professional, specializing in Optometry. He graduated in 2002 from Pacific University - College Of Optometry.

Contact

3456 E 17TH ST
SUITE 150
AMMON
ID
834066746

Tel:

JERRY D CARLSON OD Information

Npi 1982651287
Pac Id 8921089830
Professional Enrollment Id I20070724000798
Last Name CARLSON
First Name JERRY
Middle Name D
Suffix
Gender M
Credential OD
Medical School Name PACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduation Year 2002
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 3456 E 17TH ST
Line 2 Street Address SUITE 150
Marker Of Address Line 2 Suppression
City AMMON
State ID
Zip Code 834066746
Phone Number
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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