Jerry Carter, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

1079 Issued in OK

Practice address

2419 Nowata PL
Suite 103
Bartlesville, OK 74006-4708

Phone

(918) 333-9292

Fax

(918) 333-9295

NPI assigned

Jul 20, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Emily M. Bussey, O.D. P.C.

  dba Bussey Eyecare Center

  • Optometrist
  • Bartlesville, OK
  • NPI 1508182585
  NPD (past)
• Northeastern State University College of Optometry

  • Optometrist
  • Tahlequah, OK
  • NPI 1437106333
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1225058654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2419 NOWATA PL",
            "address_2": "SUITE 103",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064708",
            "telephone_number": "918-333-9292",
            "fax_number": "918-333-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2419 NOWATA PL",
            "address_2": "SUITE 103",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740064708",
            "telephone_number": "918-333-9292",
            "fax_number": "918-333-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JERRY",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100761990A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Braiden Hunter Cardwell
• Care Counseling and Consulting PLLC
• Priscella Ann Caron, DNP, APRN, FNP-C
• Judy Ann Carpenter, FNP
• Lacey Dawn Carroll, LCSW
• Marci Carter
• William J Carter, M.D.
• Toby James Cartwright
• Courtney C Caywood, COTA
• CCLS, LLC (Silver Lake Care Center)

• Optometrist in Bartlesville, OK
• Providers in Bartlesville, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.