Active NPI
Cornelius Jemeel Carter, CERTIFIED TECHNICIAN
- Specialist
- Norman, OK
National Provider Identifier
1134323355
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2011.
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 117 Willow Branch Rd
Norman, OK 73072-4506 - Phone
- (405) 360-2454
- Fax
- (405) 360-8650
- NPI assigned
- Jun 12, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
117 Willow Branch Rd
Norman, OK 73072-4506
Mailing address
P O Box 720483
Norman, OK 73070
Phone (405) 360-2454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Eye Care Service of America, LLC | Past | Accepting new patients | |
| Senior Eye Care Service of America | Past | Accepting new patients | |
| Spectacular Vision Services | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nursing Facility/Intermediate Care Facility
- Newcastle, OK
- NPI 1700966959
-
- Optometrist
- Newcastle, OK
- NPI 1700921798
-
- Eyewear Supplier
- Norman, OK
- NPI 1922279777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1134323355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 720483",
"city": "NORMAN",
"state": "OK",
"postal_code": "73070",
"telephone_number": "405-360-2454",
"fax_number": "405-360-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "117 WILLOW BRANCH RD",
"city": "NORMAN",
"state": "OK",
"postal_code": "730724506",
"telephone_number": "405-360-2454",
"fax_number": "405-360-8650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "CORNELIUS",
"middle_name": "JEMEEL",
"name_prefix": "Mr.",
"credential": "CERTIFIED TECHNICIAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.