Active NPI
Jerry B. Carter, O.D.
- Eyewear Supplier
- Bartlesville, OK
National Provider Identifier
1396994323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 1079
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Bartlesville, OK
- NPI 1669583654
-
- Optometrist
- Muskogee, OK
- NPI 1487932992
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.