Individual provider Active NPI

Ohlen Pierce Cartmell, O.D.

  • Optometrist
  • Marietta, OH
National Provider Identifier
1871558320
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
4269-T046 Issued in OH
Practice address
316 2ND St
Marietta, OH 45750-2919
Phone
(740) 374-3937
Fax
(740) 376-9437
NPI assigned
Apr 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 4269-T046 OH Primary
Optometrist 152W00000X 954-OD WV

Addresses

Primary practice location

316 2ND St
Marietta, OH 45750-2919

Mailing address

316 2ND St
Marietta, OH 45750-2919
Phone (740) 374-3937

Other identifiers 12

IdentifierTypeStateIssuer
000000119705OtherOHANTHEM BC/BS
0851734MedicaidOH
859541461OtherOHUNITED HEALTH CARE
10624OtherOHCOORDINATED VISION CARE
31-1336386OtherOHAETNA
311336386OtherCABLUE CROSS/BLUE SHIELD
OH-4269OtherOHVISION BENEFITS OF AMERIC
311336386OtherOHHUMANA
85242OtherOHGE VISION CARE
31-1336386OtherTXAETNA
360114OtherOHNATIONAL VISION ADMINISTR
410021121OtherOHRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4269OHMDChiropractor
4269-T046OHMDOptometrist
954-ODWVMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. T. Shawn Stephens Optometrist PastSince Jun 1, 2002 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213056000000",
    "number": "1871558320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 2ND ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502919",
            "telephone_number": "740-374-3937",
            "fax_number": "740-376-9437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 2ND ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457502919",
            "telephone_number": "740-374-3937",
            "fax_number": "740-376-9437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTMELL",
        "first_name": "OHLEN",
        "middle_name": "PIERCE",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OH",
            "license": "4269-T046",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WV",
            "license": "954-OD",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000119705",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0851734",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "859541461",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COORDINATED VISION CARE",
            "identifier": "10624",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "31-1336386",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "311336386",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENEFITS OF AMERIC",
            "identifier": "OH-4269",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "311336386",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GE VISION CARE",
            "identifier": "85242",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "31-1336386",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL VISION ADMINISTR",
            "identifier": "360114",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410021121",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.