Organization Active NPI

Thomas M Carter MD, Inc.

  • Eyewear Supplier
  • Ponca City, OK
National Provider Identifier
1841477759
Registry record updated May 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
8690 Issued in OK
Legal business name
THOMAS M CARTER MD, INC.
Practice address
400 Fairview Ave
Suite 21
Ponca City, OK 74601
Phone
(580) 765-3356
Fax
(580) 765-3353
NPI assigned
Jan 23, 2008
Last updated
May 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2009

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

Authorized official

Name
Thomas M. CarterNPI 1205878055
Title
Owner
Phone
(580) 765-3356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 8690 OK Primary

Addresses

Primary practice location

400 Fairview Ave
Suite 21
Ponca City, OK 74601

Mailing address

400 Fairview Ave
Suite 21
Ponca City, OK 74601
Phone (580) 765-3356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090603000465 OK Part B Supplier - Clinic/Group Practice 6608926191 Receives reassigned benefits from 1 practitioner
Practice locations: Ponca City, OK
O20100930083042 OK DME Supplier - Physician - OphthalmologyDME Supplier - Optician 6608926191 Practice locations: Ponca City, OK

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Thomas M Carter MD Inc400 Fairview Ave, Ponca City, OK 74601-1920(580) 765-3356 Prosthetic Lenses: Conventional Eyeglasses Accepts assignmentParticipating since May 15, 2009

National Provider Directory

National Provider Directory

Locations

400 Fairview Ave
Ste 21
Ponca City, OK 74601
Phone (580) 765-3356

Practitioners & affiliated clinicians

Practitioners 2

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": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241136000000",
    "number": "1841477759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW AVE",
            "address_2": "SUITE 21",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "74601",
            "telephone_number": "580-765-3356",
            "fax_number": "580-765-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FAIRVIEW AVE",
            "address_2": "SUITE 21",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "74601",
            "telephone_number": "580-765-3356",
            "fax_number": "580-765-3353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS M CARTER MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2009-05-01",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-765-3356"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "OK",
            "license": "8690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponca City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.