NPI 1154001071 · live from the CMS NPI Registry
Alida Bernadette Carlson, OD
Optometrist in Eugene, OR. National Provider Identifier 1154001071, active.
NPI record
| NPI | 1154001071 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Optometrist 152W00000X |
| Practice location | 1740 W 18th Ave, Eugene, OR 97402 |
| Practice phone | 541-343-5555 |
| Enumerated | July 25, 2023 |
| Last updated | October 19, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist primary | 152W00000X | 4729ATI (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.