Individual provider Active NPI

Gary Robert Fox, O.D.

  • Optometrist
  • Oklahoma City, OK
National Provider Identifier
1023099801
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
978 Issued in OK
Practice address
10320 S Pennsylvania Ave
Suite #103
Oklahoma City, OK 73159-6916
Phone
(405) 691-3937
Fax
(405) 691-0312
NPI assigned
Nov 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 978 OK Primary

Addresses

Primary practice location

10320 S Pennsylvania Ave
Suite #103
Oklahoma City, OK 73159-6916

Mailing address

10320 S Pennsylvania Ave
Suite #103
Oklahoma City, OK 73159-6916
Phone (405) 691-3937

Other identifiers 3

IdentifierTypeStateIssuer
978OtherOKOKLAHOMA LICENSE NUMBER
OK00978OtherVISION BENEFITS OF AMERIC
100764890AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20101102000679 OK Practitioner - Optometry 9537276316 Reassigns benefits to 1 organization
O20100930100147 OK DME Supplier - Physician - Optometrist 0547475386 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Oklahoma City, OK

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Southern College of Optometry, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10320 S Pennsylvania Ave
Suite 103
Oklahoma City, OK 73159-6927
Phone (405) 691-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
978OKMDRehabilitation Hospital

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Optometrist of Oklahoma - South, P.C. Optometrist CurrentSince Mar 1, 2001 Accepting new patients

Locations

10320 S Pennsylvania Ave
Ste 103
Oklahoma City, OK 73159
Phone (405) 691-3937

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1023099801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10320 S PENNSYLVANIA AVE",
            "address_2": "SUITE #103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596916",
            "telephone_number": "405-691-3937",
            "fax_number": "405-691-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10320 S PENNSYLVANIA AVE",
            "address_2": "SUITE #103",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731596916",
            "telephone_number": "405-691-3937",
            "fax_number": "405-691-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "GARY",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-09",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OKLAHOMA LICENSE NUMBER",
            "identifier": "978",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISION BENEFITS OF AMERIC",
            "identifier": "OK00978",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100764890A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.