MEDICARE: CCCARTER,OD AND ASSOCIATES,PC

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
1	261Q00000X	Clinic/Center	S675TA160	AL

General Provider Information

NPI Number	:	1518135755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CCCARTER,OD AND ASSOCIATES,PC

Provider Business Mailing Address
First Line	:	2537 ARLINGTON CRES
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-4105
Country	:	US
Telephone Number	:	205-960-5331
Fax Number	:

Provider Business Practice Location Address
First Line	:	2537 ARLINGTON CRES
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35205-4105
Country	:	US
Telephone Number	:	205-960-5331
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHRISTOPHER C CARTER
Credential	:	O.D.
Telephone Number	:	205-960-5331

Provider Enumeration Date	:	02/11/2008
Last Update Date	:	02/11/2008

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