Provider Demographics
NPI:1629198833
Name:STEVEN D CARTMELL INC
Entity Type:Organization
Organization Name:STEVEN D CARTMELL INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:CARTMELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:918-665-1800
Mailing Address - Street 1:3202 S MEMORIAL DR STE 2
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74145-1323
Mailing Address - Country:US
Mailing Address - Phone:918-665-1800
Mailing Address - Fax:918-665-1830
Practice Address - Street 1:3202 S MEMORIAL DR STE 2
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74145-1323
Practice Address - Country:US
Practice Address - Phone:918-665-1800
Practice Address - Fax:918-665-1830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-30
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1128152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK1190720001Medicare NSC
OK200522138Medicare PIN