IndividualActive
Adam Carlson, O.D.
NPI 1124352687 · Optometrist · Grand Rapids, MI
Provider details
- NPI number
- 1124352687
- Entity type
- Individual
- Primary specialty
- OptometristEye and Vision Services Providers
- Credential
- O.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 4901004537 (MI)
Practice location
55 Campau Ave Nw
Ste 10
Grand Rapids, MI 49503-2642
Phone: (616) 459-7380
Fax: (616) 459-5752
Mailing address
55 Campau Ave Nw
Grand Rapids, MI 49503-2642
Registry dates
- Enumerated
- 2009-09-30
- Last updated
- 2022-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.