Johnathan Carroll O.d. Pllc

NPI #1366968463 in Round Rock, Texas

Provider Information

NPI Number: 1366968463
Entity Type: Organization
Organization Name: Johnathan Carroll O.d. Pllc
Primary Specialty: Optometrist
Enumeration Date: Aug 21, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 2681 GATTIS SCHOOL RD STE 100
City: Round Rock
State: Texas
ZIP Code: 78664-2057
Phone: (512) 898-9995

Authorized Official

Name: DR. JOHNATHAN MARVIN CARROLL, O.D.
Title: OWNER
Phone: (512) 898-9995

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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