Provider Demographics
NPI:1316323470
Name:CARTIER, JON PAUL (LICENSED OPTICIAN)
Entity type:Individual
Prefix:
First Name:JON
Middle Name:PAUL
Last Name:CARTIER
Suffix:
Gender:M
Credentials:LICENSED OPTICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 STATE ST
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2725
Mailing Address - Country:US
Mailing Address - Phone:203-453-6776
Mailing Address - Fax:203-453-9887
Practice Address - Street 1:115 STATE ST
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2725
Practice Address - Country:US
Practice Address - Phone:203-453-6776
Practice Address - Fax:203-453-9887
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2015-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FC0800XEye and Vision Services ProvidersTechnician/TechnologistContact Lens
No156FC0801XEye and Vision Services ProvidersTechnician/TechnologistContact Lens Fitter
No156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician