Organization Active NPI

Debbie S. Coy, O.D. P.C.

  • Optometrist
  • Fort Gibson, OK
National Provider Identifier
1164737151
Registry record updated Jul 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
2297 Issued in OK
Legal business name
DEBBIE S. COY, O.D. P.C.
Practice address
330 E Highway 62
Fort Gibson, OK 74434-8446
Phone
(918) 478-8888
Fax
(918) 478-3465
NPI assigned
Aug 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2011

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

Authorized official

Name
Dr. Debbie S. Coy, O.D.
Title
President/Owner
Phone
(918) 478-8888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 2297 OK Primary

Addresses

Primary practice location

330 E Highway 62
Fort Gibson, OK 74434-8446

Mailing address

330 E Highway 62
Fort Gibson, OK 74434-8446
Phone (918) 478-8888

Other identifiers 2

IdentifierTypeStateIssuer
200313220AMedicaidOK
444749078001OtherOKBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930053612 OK DME Supplier - Physician - Optometrist 7113026956 1 other NPI on this enrollment
Practice locations: Fort Gibson, OK

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Debbie S Coy OD PC330 W Highway 62, Fort Gibson, OK 74434-8446(918) 478-8888 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 2000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1164737151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E HIGHWAY 62",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744348446",
            "telephone_number": "918-478-8888",
            "fax_number": "918-478-3465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E HIGHWAY 62",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744348446",
            "telephone_number": "918-478-8888",
            "fax_number": "918-478-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE S. COY, O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "COY",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "918-478-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2297",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200313220A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "444749078001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Gibson, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.