Provider Demographics
NPI:1487723920
Name:CARTWRIGHT, LON D (OD)
Entity type:Individual
Prefix:
First Name:LON
Middle Name:D
Last Name:CARTWRIGHT
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 1:4009 S BRAESWOOD BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77025-3303
Mailing Address - Country:US
Mailing Address - Phone:713-667-2010
Mailing Address - Fax:713-667-2071
Practice Address - Street 1:4009 S BRAESWOOD BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77025-3303
Practice Address - Country:US
Practice Address - Phone:713-667-2010
Practice Address - Fax:713-667-2071
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2696T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00E79AMedicare ID - Type Unspecified