Organization Active NPI

Catherine F Carlin O D,P C

  • Optometrist
  • Bethany, OK
National Provider Identifier
1689890840
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2093 Issued in OK
Legal business name
CATHERINE F CARLIN O D,P C
Practice address
6303 NW 23Rd St
Bethany, OK 73008-5931
Phone
(405) 782-0301
Fax
(405) 782-0302
NPI assigned
Apr 17, 2007
Last updated
Apr 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Catherine F Carlin, O.D.NPI 1902804172
Title
Owner President
Phone
(405) 782-0301

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 2093 OK
Optometrist 152W00000X 2093 OK Primary

Addresses

Primary practice location

6303 NW 23Rd St
Bethany, OK 73008-5931

Mailing address

6303 NW 23Rd St
Bethany, OK 73008-5931
Phone (405) 782-0301

Other identifiers 1

IdentifierTypeStateIssuer
100762240AMedicaidOK

National Provider Directory

National Provider Directory

Locations

6303 NW 23rd St
Bethany, OK 73008
Phone (405) 782-0300

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1689890840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6303 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085931",
            "telephone_number": "405-782-0301",
            "fax_number": "405-782-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6303 NW 23RD ST",
            "city": "BETHANY",
            "state": "OK",
            "postal_code": "730085931",
            "telephone_number": "405-782-0301",
            "fax_number": "405-782-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHERINE F CARLIN O D,P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "CARLIN",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "405-782-0301",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "2093",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100762240A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethany, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.