Jerry Dale Carlson in Spanish Fork - Optometrist
Jerry Dale Carlson - NPI 1982651287
Jerry Dale Carlson is a Optometrist in Spanish Fork, Utah. Jerry Dale Carlson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Jerry Dale Carlson is 1982651287. The last update date is 2007-07-08.
Jerry Dale Carlson's current location address is 955 N Main St, Spanish Fork, Utah. You can contact this provider via phone number 8017983557. The mailing address for Jerry Dale Carlson is 955 N Main St, Spanish Fork, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Dale Carlson |
|---|---|
| Address | 955 N Main St, Spanish Fork, Utah |
| Phone Number | 8017983557 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | O.D. |
NPI Number Detail
| NPI Number | 1982651287 |
|---|---|
| Provider Enumeration Date | 2006-05-30 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 955 N Main St |
|---|---|
| City | Spanish Fork |
| State | Utah (UT) |
| Post Code | 846601150 |
| Phone Number | 8017983557 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 5154950-9934 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jerry Dale Carlson by the Centers for Medicare & Medicaid Services?
The Jerry Dale Carlson has been issued the NPI (National Provider Identifier) 1982651287, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jerry Dale Carlson?
The Jerry Dale Carlson is physically situated at 955 N Main St, in the city of Spanish Fork, state of UT, with the postal code 846601150.
What is Jerry Dale Carlson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jerry Dale Carlson's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did Jerry Dale Carlson receive its 1982651287 assignment from the Centers for Medicare & Medicaid Services?
The Jerry Dale Carlson was assigned its 1982651287 on 2006-05-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Jerry Dale Carlson last refreshed?
The information related to the Jerry Dale Carlson, including its address, specialty, and other relevant details, was last updated on 2007-07-08.