Dorman, Gary A
Dorman, Gary A is an sole proprietor health care provider with primary practice located at 400 Fairview Ave Suite 21, Ponca City OK 74601-1922. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Dorman, Gary A can be contacted via phone (580) 765-3356.Contact Information
Primary practice address
400 Fairview Ave Suite 21
Ponca City OK 74601-1922
Phone: (580) 765-3356
Fax: (580) 765-3353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1043 | Oklahoma |
Profile Details
| NPI number | 1467444315 |
|---|---|
| LBN Legal business name | Dorman, Gary A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 17th, 2005 |
| Last updated | May 1st, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467444315 | NPPES |
| Oklahoma | MEDICAID | 100764410A | |
| Oklahoma | Other | 7311837180001 |
Popular Providers
-
Ray, Somer Austin
2109 El Camino St , Ponca City OK 74604-2715 -
Ross, Tami Ra
211 N Robinson Ave Ste 130, Oklahoma City OK 73102-7101 -
Campbell, Kelly Christine
1619 N 5Th St , Ponca City OK 74601-2703 -
Gentry, James Matthew
2601 Sw 119Th St Ste B , Oklahoma City OK 73170 -
Edwards, John D
101 N Randall Ave , Elk City OK 73644-5231 -
Hopkins, Jack E
8121 National Ave Ste 409, Midwest City OK 73110-7530 -
Garber, Dana M.
608 Stanton L Young Blvd , Oklahoma City OK 73104-5014 -
Chenoweth, Christopher Ray
502 E Prospect Ave , Ponca City OK 74601-7404