Gary A Dorman, in Ponca City, OK - Medicare Optometrist Provider

Gary A Dorman, is a medicare enrolled "Optometrist" provider in Ponca City, Oklahoma. His current practice location is 400 Fairview Ave, Suite 21, Ponca City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 765-3356.

Gary A Dorman is licensed to practice in Oklahoma (license number 1043) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467444315.

Contact Information

	Gary A Dorman,
	400 Fairview Ave, Suite 21, Ponca City, OK 74601-1922
	(580) 765-3356
	(580) 765-3353

Healthcare Provider's Profile

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.

NPI Data:

NPI Number: 1467444315
Provider Enumeration Date: 08/17/2005
Last Update Date: 05/01/2009

Medicare PECOS Information:

PECOS PAC ID: 3779657903
Enrollment ID: I20080814000422

Medical Identifiers

Medical identifiers for Gary A Dorman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467444315	NPI	-	NPPES
100764410A	Medicaid	OK
7311837180001	Other	OK	BLUE CROSS/BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	1043 (Oklahoma)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gary A Dorman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

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Optometrist in Ponca City, OK

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

Gary A Dorman, - Medicare Optometrist in Ponca City, OK