Provider Demographics
NPI:1700988987
Name:OHLEN P. CARTMELL
Entity type:Organization
Organization Name:OHLEN P. CARTMELL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:OHLEN
Authorized Official - Middle Name:PIERCE
Authorized Official - Last Name:CARTMELL
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:740-374-3937
Mailing Address - Street 1:316 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:OH
Mailing Address - Zip Code:45750-2919
Mailing Address - Country:US
Mailing Address - Phone:740-374-3937
Mailing Address - Fax:740-376-9437
Practice Address - Street 1:316 2ND ST
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:OH
Practice Address - Zip Code:45750-2919
Practice Address - Country:US
Practice Address - Phone:740-374-3937
Practice Address - Fax:740-376-9437
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-01
Last Update Date:2008-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4269-T046152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0568180001Medicare NSC