JERRY B. CARTER, O.D. (NPI# 1396994323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396994323 |
| Entity Type | Organization |
| Organization Name | JERRY B. CARTER, O.D. |
| Other Organization Name | JERRRY B. CARTER, O.D. |
| Practice Address |
2419 Nowata Pl Suite 103 Bartlesville OK 74006-4708 |
| Practice Telephone | 9183339292 |
| Mailing Telephone | 9183339292 |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2008-09-15 |
| Authorized Official Name | JERRY B CARTER (OWNER) |
| Authorized Official Telephone | 9183339292 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 1079 | OK | Suppliers |
| Other Name | Type Code |
|---|---|
| Jerrry B. Carter, O.D. | Doing Business As Name - Organization |
| Street Address |
2419 NOWATA PL SUITE 103 |
| City | BARTLESVILLE |
| State | OK |
| Zip Code | 74006-4708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225058654 | Jerry Carter | Optometrist | 2419 Nowata Pl, Suite 103, Bartlesville, OK 74006-4708 | 2006-07-20 |
| 1508182585 | Emily M. Bussey, O.d. P.C. | Optometrist | 2419 Nowata Pl, Ste. 103, Bartlesville, OK 74006-4708 | 2010-04-15 |
| 1588807465 | Bartlesville Periodontics and Dental Implants | Dentist | 2419 Nowata Pl, Suite 101, Bartlesville, OK 74006-4708 | 2009-04-08 |
| 1235264292 | David Taylor Stapleton | Dentist | 2419 Nowata Pl, Suite 101, Bartlesville, OK 74006-4708 | 2007-02-22 |
| 1316097603 | J Reed Butler | Dentist | 2419 Nowata Pl, Suite #101, Bartlesville, OK 74006-4708 | 2007-01-11 |
| 1669583654 | Emily Martin Bussey | Optometrist | 2419 Nowata Pl, Ste 103, Bartlesville, OK 74006-4708 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124646252 | Ntcob LLC | Family Medicine | 234 Se De Bell Ave, Bartlesville, OK 74006 | 2020-07-06 |
| 1053936815 | Priscella Ann Caron | Nurse Practitioner | 226 Se De Bell Ave Building B, Bartlesville, OK 74006 | 2020-06-08 |
| 1508390840 | Megan Christopher | Student in an Organized Health Care Education/Training Program | 3400 Se Frank Phillips Blvd, Suite 502, Bartlesville, OK 74006 | 2017-04-13 |
| 1518339811 | Dori Raycob | Registered Nurse | 3400 Se Frank Phillips Blvd Suite 300, Bartlesville, OK 74006 | 2015-10-26 |
| 1023487436 | Katherine Marie Anderson | Nurse Practitioner | 3500 Sw Frank Phillips, Bartlesville, OK 74006 | 2015-09-16 |
| 1033593207 | Quanisha Roberson | Clinical Nurse Specialist | 226 Se De Bell Avenue, Building A, Suite 101, Bartlesville, OK 74006 | 2015-07-16 |
| 1588064604 | Vance Wayne Blackwell Jr. | Counselor | 2200 Se Washinton Blvd., Bartlesville, OK 74006 | 2014-08-26 |
| 1619314937 | Scott Ethan Sonico | Dentist | 1224 Se Washington Blvd, Bartlesville, OK 74006 | 2013-05-28 |
| 1417229485 | Vernon Lee Newby | Veterinarian | 817 Madison Blvd., Bartlesville, OK 74006 | 2012-02-06 |
| 1306083720 | Sherry M Wilson | Counselor | 3925-g Frank Phillips Blvd., Bartlesville, OK 74006 | 2009-01-08 |
| Find all providers in zip 74006 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172670 | Total Vision Care LLC | Eyewear Supplier (Equipment, not the service) | 10001 S Western Ave Ste 200, Oklahoma City, OK 73139-2997 | 2020-10-21 |
| 1932755733 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 1932 N Perkins Rd, Stillwater, OK 74075-2978 | 2019-08-16 |
| 1396303855 | Nu Eyes of Florida Inc. | Eyewear Supplier (Equipment, not the service) | 1705 N 18th St, Broken Arrow, OK 74012-9357 | 2019-05-30 |
| 1265915631 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 3516 S Peoria Ave, Tulsa, OK 74105 | 2018-09-12 |
| 1285134387 | Motley Vision Professionals, Pllc | Eyewear Supplier (Equipment, not the service) | 9805 N. May Avenue, Oklahoma City, OK 73120 | 2018-02-15 |
| 1164930723 | Jand. Inc. | Eyewear Supplier (Equipment, not the service) | 5840 N Classen Blvd, Oklahoma City, OK 73118-1211 | 2018-01-17 |
| 1316464407 | Jand Inc. | Eyewear Supplier (Equipment, not the service) | 3 Nw 9th St, Oklahoma City, OK 73102-5806 | 2017-08-29 |
| 1740735125 | Visionworks Inc. | Eyewear Supplier (Equipment, not the service) | 705 Sw 19th St, Ste 160, Moore, OK 73160-3049 | 2016-08-16 |
| 1548647159 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 10220 S. Memorial Drive, Tulsa, OK 74133 | 2015-05-04 |
| 1649667304 | Usv Optical Inc | Eyewear Supplier (Equipment, not the service) | 3360 N Ave, Bldg. 685, Tinker Afb, OK 73145-9028 | 2015-04-21 |
| Find all providers with the same taxonomy | ||||
| City | BARTLESVILLE |
| Zip Code | 74006 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.