Gary A Dorman in Ponca City - Eyewear Supplier

Gary A Dorman - NPI 1023295839

Gary A Dorman is a Eyewear Supplier in Ponca City, Oklahoma. Gary A Dorman practices all healthcare services and medical treatments related to Eyewear Supplier. The NPI Number for Gary A Dorman is 1023295839. The last update date is 2014-11-04.

Gary A Dorman's current location address is 400 Fairview, Ponca City, Oklahoma. You can contact this provider via phone number 5807653356 and fax number 5807653353. The mailing address for Gary A Dorman is 400 Fairview, Ponca City, Oklahoma. To know further, please read the information below!

Provider Profile Detail

Provider Organization Gary A Dorman
Address 400 Fairview, Ponca City, Oklahoma
Phone Number 5807653356
Fax Number 5807653353
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Dorman Gary
Telephone Number 5807653356

NPI Number Detail

NPI Number 1023295839
Provider Enumeration Date 2008-01-23
Last Updated Date 2014-11-04

Provider Mailing Address Detail

Address 400 Fairview
City Ponca City
State Oklahoma (OK)
Post Code 746011922
Phone Number 5807653356
Fax Number 5807653353

Provider's Primary Taxonomy Detail

Speciality Eyewear Supplier
Taxonomy 332H00000X
Licence No 1043
Definition:
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

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FAQs about Gary A Dorman

What is the unique 10-digit identifier code assigned to Gary A Dorman by the Centers for Medicare & Medicaid Services?

The Gary A Dorman has been issued the NPI (National Provider Identifier) 1023295839 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Gary A Dorman located?

The Gary A Dorman is located at 400 Fairview, Ponca City, OK 746011922.

What is Gary A Dorman's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gary A Dorman is Eyewear Supplier, and the taxonomy code that categorizes this field of expertise is 332H00000X.

On what date did the Gary A Dorman receive its 1023295839 assignment from the Centers for Medicare & Medicaid Services?

The Gary A Dorman was assigned its 1023295839 by the Centers for Medicare & Medicaid Services on 2008-01-23.

As of what date were the details related to Gary A Dorman most recently updated or revised?

The information pertaining to Gary A Dorman, including its address, specialty, and other relevant details, was last updated or revised on 2014-11-04.

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