Healthcare Provider Details

I. General information

NPI: 1841463700
Provider Name (Legal Business Name): CAROL L STARLING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2008
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

170 N STATE ST
CARO MI
48723-1550
US

IV. Provider business mailing address

170 N STATE ST
CARO MI
48723-1550
US

V. Phone/Fax

Practice location:
  • Phone: 989-672-7827
  • Fax: 989-672-7830
Mailing address:
  • Phone: 989-672-7827
  • Fax: 989-672-7830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: DR. CAROL STARLING
Title or Position: OWNER
Credential: OD
Phone: 989-672-7827