Provider Demographics
NPI:1043650401
Name:MABUS CARPER, ERIKA ELIZABETH (OD)
Entity type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:ELIZABETH
Last Name:MABUS CARPER
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:25 MONUMENT RD
Mailing Address - Street 2:#297
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-5060
Mailing Address - Country:US
Mailing Address - Phone:717-741-6732
Mailing Address - Fax:
Practice Address - Street 1:2214 ROUTE 405 HWY
Practice Address - Street 2:
Practice Address - City:MUNCY
Practice Address - State:PA
Practice Address - Zip Code:17756-6530
Practice Address - Country:US
Practice Address - Phone:570-546-6129
Practice Address - Fax:570-546-7689
Is Sole Proprietor?:No
Enumeration Date:2013-07-01
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOEG002826152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist