Healthcare Provider Details

I. General information

NPI: 1821323585
Provider Name (Legal Business Name): CARRIE ANN MENET O.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/13/2009
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

715 BLUEGRASS CIR
CEDAR FALLS IA
50613-7978
US

IV. Provider business mailing address

715 BLUEGRASS CIR
CEDAR FALLS IA
50613-7978
US

V. Phone/Fax

Practice location:
  • Phone: 319-266-6219
  • Fax:
Mailing address:
  • Phone: 319-266-6219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number085293
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: