Active NPI
Catherine F Carlin O D,P C
- Optometrist
- Bethany, OK
National Provider Identifier
1689890840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2093
- 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, 2013
- 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
- Catherine F Carlin, O.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100762240A | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Bethany, OK
- NPI 1902804172
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.