NPI 1023295839

Gary a Dorman

Organisation Eyewear Supplier Ponca City, OK

Practice location

Address: 400 Fairview Suite 21, Ponca City, OK 74601-1922
Phone: (580) 765-3356
Fax: (580) 765-3353

Authorised official

Name: Gary Dorman
Title: Owner
Phone: (580) 765-3356

Registered specialties

Eyewear Supplier Primary

Suppliers Taxonomy 332H00000X Licence 1043 (OK)

Other Eyewear Supplier providers in Oklahoma →

Registry record

NPI: 1023295839
Entity type: Organization
NPI issued: 23 Jan 2008
Record last updated: 4 Nov 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.