NPI 1609834076 · live from the CMS NPI Registry
Jeffrey O Carlsen, MD
Ophthalmology in Johnson City, TN. National Provider Identifier 1609834076, active.
NPI record
| NPI | 1609834076 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Ophthalmology 207W00000X |
| Practice location | 110 Med Tech Pkwy, Suite 1, Johnson City, TN 37604 |
| Practice phone | 423-929-2111 |
| Enumerated | May 3, 2006 |
| Last updated | December 21, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Ophthalmology primary | 207W00000X | MD38624 (TN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.