Healthcare Provider Details

I. General information

NPI: 1669390647
Provider Name (Legal Business Name): SEAN CARR OD, PC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 MILLARD FARMER IND BLVD
NEWNAN GA
30263-1012
US

IV. Provider business mailing address

211 MILLARD FARMER IND BLVD
NEWNAN GA
30263-1012
US

V. Phone/Fax

Practice location:
  • Phone: 770-254-9996
  • Fax:
Mailing address:
  • Phone: 770-254-9996
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State

VIII. Authorized Official

Name: SEAN STEPHEN CARR
Title or Position: OPTOMETRIST
Credential:
Phone: 770-254-9997