Provider Demographics
NPI:1871558320
Name:CARTMELL, OHLEN PIERCE (OD)
Entity type:Individual
Prefix:DR
First Name:OHLEN
Middle Name:PIERCE
Last Name:CARTMELL
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2008-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4269-T046152W00000X
WV954-OD152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000119705OtherANTHEM BC/BS
OH0851734Medicaid
OH859541461OtherUNITED HEALTH CARE
OH10624OtherCOORDINATED VISION CARE
OH31-1336386OtherAETNA
CA311336386OtherBLUE CROSS/BLUE SHIELD
OHOH-4269OtherVISION BENEFITS OF AMERIC
OH311336386OtherHUMANA
OH85242OtherGE VISION CARE
TX31-1336386OtherAETNA
OH360114OtherNATIONAL VISION ADMINISTR
OH410021121OtherRAILROAD MEDICARE
CA311336386OtherBLUE CROSS/BLUE SHIELD
OH0568180001Medicare NSC