Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Jacqueline Renita Brock-Carter

Individual provider Optometric Assistant Technician · NPI 1396078531

MS. Jacqueline Renita Brock-Carter is an Optometric Assistant Technician in Capitol Heights, Maryland. Practices as a sole proprietor. Registered with an NPI since 2009.

In the registry since
2009

Practice location Address checks out

5028 Fable St
Capitol Heights, MD 20743-4019
Phone: (240) 838-1978
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometric Assistant Technician (primary) Taxonomy 156FX1201X

Record details

NPI number1396078531
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 4, 2009
Last updated in NPPESSeptember 4, 2009