Provider Demographics
NPI:1881276095
Name:CARR, HEIDI (OD)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:CARR
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OD
Mailing Address - Street 1:2032 VETERANS BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-3065
Mailing Address - Country:US
Mailing Address - Phone:478-272-3445
Mailing Address - Fax:478-272-4802
Practice Address - Street 1:2032 VETERANS BLVD STE A
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-3065
Practice Address - Country:US
Practice Address - Phone:478-272-3445
Practice Address - Fax:478-272-4802
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-27
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC2233152W00000X
GAOPT003393152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist