| Gary A Dorman, | |
|
400 Fairview Ave, Suite 21, Ponca City, OK 74601-1922 | |
| (580) 765-3356 | |
| (580) 765-3353 |
| Full Name | Gary A Dorman |
|---|---|
| Gender | Male |
| Speciality | Optometrist |
| Location | 400 Fairview Ave, Ponca City, Oklahoma |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467444315 | NPI | - | NPPES |
| 100764410A | Medicaid | OK | |
| 7311837180001 | Other | OK | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 1043 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Gary A Dorman, 400 Fairview Ave, Suite 21, Ponca City, OK 74601-1922 Ph: (580) 765-3356 | Gary A Dorman, 400 Fairview Ave, Suite 21, Ponca City, OK 74601-1922 Ph: (580) 765-3356 |
Dr. Somer Austin Ray, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 2109 El Camino St, Ponca City, OK 74604 Phone: 918-671-3821 | |
Complete Vision Care, Pllc Optometrist Medicare: Medicare Enrolled Practice Location: 521 E Hartford Ave, Ponca City, OK 74601 Phone: 580-765-3379 Fax: 580-765-6323 | |
Dr. Andrew Coufal, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 502 E Prospect Ave, Ponca City, OK 74601 Phone: 580-765-7509 | |
Dr. Donald Ray Kelle, O.D. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 200 White Eagle Dr, Ponca City, OK 74601 Phone: 580-765-2501 Fax: 580-765-6348 | |
Dr. J . C. Trotter, Inc. P.c. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 521 E Hartford Ave, Ponca City, OK 74601 Phone: 580-765-3379 | |
Dr. Tatyana Victoria Mayer, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1722 N 4th St Ste C, Ponca City, OK 74601 Phone: 580-762-0870 Fax: 580-762-0871 |