Active NPI
George T. Dakil, OPTICIAN
- Optician
- Broken Arrow, OK
National Provider Identifier
1285797597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- License
- 131654
- Practice address
- 520 S Elm PL
Broken Arrow, OK 74012-5325 - Phone
- (918) 251-6442
- Fax
- (918) 251-6442
- NPI assigned
- Dec 18, 2006
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | 131654 | OK | Primary |
Addresses
Primary practice location
520 S Elm PL
Broken Arrow, OK 74012-5325
Mailing address
520 S Elm PL
Broken Arrow, OK 74012-5325
Phone (918) 251-6442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131654 | OK | MD | Optician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Precision Optical of Okla Inc | Optician | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1285797597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S ELM PL",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740125325",
"telephone_number": "918-251-6442",
"fax_number": "918-251-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S ELM PL",
"city": "BROKEN ARROW",
"state": "OK",
"postal_code": "740125325",
"telephone_number": "918-251-6442",
"fax_number": "918-251-6442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAKIL",
"first_name": "GEORGE",
"middle_name": "T.",
"name_prefix": "Mr.",
"credential": "OPTICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "OK",
"license": "131654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broken Arrow, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.