MEDICARE: DR LARRY CARTER OPTOMETRIST PA

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	152W00000X	Optometrist	S353TA002	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1518949205	OTHER	AL	NPI
2	59414	OTHER	AL	BCBS OF ALABAMA
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982888426
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR LARRY CARTER OPTOMETRIST PA

Provider Business Mailing Address
First Line	:	PO BOX 1807
Second Line	:
City	:	HAMILTON
State	:	AL
Zip	:	35570-1807
Country	:	US
Telephone Number	:	205-921-7426
Fax Number	:

Provider Business Practice Location Address
First Line	:	1925 MILITARY ST S
Second Line	:
City	:	HAMILTON
State	:	AL
Zip	:	35570-6611
Country	:	US
Telephone Number	:	205-921-7426
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LARRY CARTER
Credential	:	O.D.
Telephone Number	:	205-921-7426

Provider Enumeration Date	:	12/19/2007
Last Update Date	:	06/25/2009

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