Active NPI
Debbie S. Coy, O.D. P.C.
- Optometrist
- Fort Gibson, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2297
- 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
- Last updated
- Jul 12, 2011
- Organization subpart
- No
NPPES NPI Registry
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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese 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
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Debbie S Coy OD PC | Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses | Accepts assignment |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Fort Gibson, OK
- NPI 1407874993
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": [],
"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.