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NPI Code Detail

MEDICARE: CARLEY WARD OD

MEDICARE:   CARLEY  WARD  OD
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
1152W00000XOptometrist2802MD

General Provider Information

NPI Number : 1285206052
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLEY WARD OD
Provider Business Mailing Address
First Line : 12345 WAKE FOREST RD # RX
Second Line :
City : CLARKSVILLE
State : MD
Zip : 21029-1500
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 12345 WAKE FOREST RD
Second Line :
City : CLARKSVILLE
State : MD
Zip : 21029-1500
Country : US
Telephone Number : 410-531-7507
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/12/2021
Last Update Date : 07/30/2024

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Directions to “ CARLEY WARD OD” Practice Location

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