Physician Compare National (NPI:1083688675)

HEALTHCARE PROVIDER: DAN B. CARVER O.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1083688675
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9436236353
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080402000712
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	CARVER
	Individual professional last name
Provider First Name	DAN
	Individual professional first name
Provider Middle Name	B
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	SOUTHERN CALIFORNIA COLLEGE OF OPTOMETRY
	Individual professional's medical school
Graduation Year	1977
	Individual professional's medical school graduation year
Primary Specialty	OPTOMETRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	11180 WARNER AVE
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 261
	Group Practice or individual's line 2 address
City	FOUNTAIN VALLEY
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	927087516
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7142630800
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y