Fox, Gary Robert

Fox, Gary Robert is an individual health care provider with primary practice located at 10320 S Pennsylvania Ave Suite #103, Oklahoma City OK 73159-6916. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fox, Gary Robert can be contacted via phone (405) 691-3937.

Contact Information

Primary practice address
10320 S Pennsylvania Ave Suite #103 Oklahoma City OK 73159-6916
Phone: (405) 691-3937
Fax: (405) 691-0312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 978 Oklahoma

Profile Details

NPI number 1023099801
LBN Legal business name Fox, Gary Robert
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated May 6th, 2015 - about 10 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023099801 NPPES
Oklahoma Other 978 OKLAHOMA LICENSE NUMBER
Oklahoma Other OK00978 OKLAHOMA LICENSE NUMBER
Oklahoma MEDICAID 100764890A OKLAHOMA LICENSE NUMBER

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