MEDICARE: CAROL L SLETTE O.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152WC0802X	Corneal and Contact Management Optometrist	4344-TG	TX

General Provider Information

NPI Number	:	1538202809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROL L SLETTE O.D.

Provider Business Mailing Address
First Line	:	1616 CLEAR LAKE CITY BLVD
Second Line	:	SUITE 103
City	:	HOUSTON
State	:	TX
Zip	:	77062-8068
Country	:	US
Telephone Number	:	281-286-4343
Fax Number	:	281-268-4344

Provider Business Practice Location Address
First Line	:	1616 CLEAR LAKE CITY BLVD
Second Line	:	SUITE 103
City	:	HOUSTON
State	:	TX
Zip	:	77062-8068
Country	:	US
Telephone Number	:	281-286-4343
Fax Number	:	281-268-4344

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	09/30/2013

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