NPI 1417020629 · live from the CMS NPI Registry
Mary S Carlson, MD
Ophthalmology in Falls Church, VA. National Provider Identifier 1417020629, active.
NPI record
| NPI | 1417020629 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 201 N Washington St, Kaiser Permanente Falls Church Medical Center, Falls Church, VA 22046 |
| Practice phone | 703-237-4000 |
| Mailing address | 2101 E Jefferson St, Kaiser Permanente Medicare Enrollment, Rockville, MD 20852 |
| Enumerated | November 16, 2006 |
| Last updated | November 1, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | 0101044132 (VA) |
| Ophthalmology | 207W00000X | MD16505 (DC) |
| Ophthalmology | 207W00000X | D38787 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.