Tory L Dotson Od Pllc

LBN: Tory L Dotson Od Pllc
Tory L Dotson Od Pllc is an health care organization with primary practice located at 105 Mimosa Ln , Tahlequah OK 74464-5703. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Tory L Dotson Od Pllc can be contacted via phone (918) 431-9939, or through Dotson, Tory L via phone (918) 431-9939.

Contact Information

Primary practice address
105 Mimosa Ln Tahlequah OK 74464-5703
Phone: (918) 431-9939
Fax: (918) 453-9945
Website:
Map and Directions
Authorized official contact:
Name: Dotson, Tory L Doctor of Optometry (OD)
Phone: (918) 431-9939

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2649 Oklahoma

Profile Details

NPI number 1457757429
LBN Legal business name Tory L Dotson Od Pllc
DBA Doing business as
Authorized official Dotson, Tory L Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 18th, 2014
Last updated Dec 31st, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457757429 NPPES
Oklahoma MEDICAID 200299660A

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