Individual
DR. JERRY CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2419 NOWATA PL, SUITE 103, BARTLESVILLE, OK 74006-4708
(918) 333-9292
(918) 333-9295
Mailing address
2419 NOWATA PL, SUITE 103, BARTLESVILLE, OK 74006-4708
(918) 333-9292
(918) 333-9295
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1079
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100761990A
—
OK
Enumeration date
07/20/2006
Last updated
08/20/2008
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