Organization Active NPI

Jerry B. Carter, O.D.

  • Eyewear Supplier
  • Bartlesville, OK
National Provider Identifier
1396994323
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1079 Issued in OK
Legal business name
JERRY B. CARTER, O.D.
Doing business as
Jerrry B. Carter, O.D.
Practice address
2419 Nowata PL
Suite 103
Bartlesville, OK 74006-4708
Phone
(918) 333-9292
NPI assigned
Sep 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Jerry B Carter, O.D.
Title
Owner
Phone
(918) 333-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 1079 OK Primary

Addresses

Primary practice location

2419 Nowata PL
Suite 103
Bartlesville, OK 74006-4708

Mailing address

2419 Nowata PL
Suite 103
Bartlesville, OK 74006-4708
Phone (918) 333-9292

Other names 1

  • Jerrry B. Carter, O.D. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1396994323",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY B. CARTER, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-333-9292",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "1079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jerrry B. Carter, O.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.