Provider Demographics
NPI:1154761435
Name:CARPENTER, ALEXANDER EARL (OD)
Entity type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:EARL
Last Name:CARPENTER
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 MARLBORO AVE
Mailing Address - Street 2:SUITE 31
Mailing Address - City:EASTON
Mailing Address - State:MD
Mailing Address - Zip Code:21601-2765
Mailing Address - Country:US
Mailing Address - Phone:410-822-3937
Mailing Address - Fax:410-822-2652
Practice Address - Street 1:409 N FRUITLAND BLVD
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-7201
Practice Address - Country:US
Practice Address - Phone:410-341-7403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-01
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDTA2362152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD418419000Medicaid