Active NPI
Debbie S. Coy, O.D. P.C.
- Optometrist
- Fort Gibson, OK
National Provider Identifier
1164737151
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
- 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
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
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200313220A | Medicaid | OK | |
| 444749078001 | Other | OK | BCBS |
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 DirectoryNPI 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.