Gore Eye Clinic PLLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

2470 Issued in OK

Legal business name

GORE EYE CLINIC PLLC

Doing business as

Gore Eye Clinic

Practice address

202 N Main
Gore, OK 74435

Phone

(918) 489-2512

NPI assigned

Aug 6, 2009

Last updated

Jan 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joni Sue Russell, OD

Title

Optometrist

Phone

(918) 489-2512

Specialties & licenses 1

Addresses

Other names 1

• Gore Eye Clinic Doing business as

Locations

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1053542142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 712",
            "city": "GORE",
            "state": "OK",
            "postal_code": "744350712",
            "telephone_number": "918-489-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N MAIN",
            "city": "GORE",
            "state": "OK",
            "postal_code": "74435",
            "telephone_number": "918-489-2512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORE EYE CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-06",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "RUSSELL",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "918-489-2512",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "OK",
            "license": "2470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Gore Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vicki Craig
• Chris Crumpler, D.PH.
• Eastern Oklahoma Medical Consultants, PLLC
• Eastern Oklahoma Medical Consultants, PLLC
• Gabrielle Maria Gibson
• Gore Green Country Drug, Inc. (Gore Green Country Drug)
• Gore Health Services, LLC (Community Healthcare of Gore)
• Gore Public Schools
• Haskell Regional Hospital, Inc. (HRH Medical Group, Gore)
• Lester Keathley, RN

• Clinic/Center in Gore, OK
• Providers in Gore, OK by specialty
• Clinic/Center in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.