Provider Demographics
NPI:1295758076
Name:CARTMELL, STEVEN D (OD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:D
Last Name:CARTMELL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2008-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1128152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100763260AMedicaid
OK5795516OtherAETNA
OK2303948OtherAETNA
OK2303948OtherAETNA
OK100763260AMedicaid
OK242718402Medicare PIN