Tory L Dotson OD PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2649 Issued in OK

Legal business name

TORY L DOTSON OD PLLC

Practice address

105 Mimosa LN
Tahlequah, OK 74464-5703

Phone

(918) 431-9939

Fax

(918) 453-9945

NPI assigned

Nov 18, 2014

Last updated

Dec 31, 2014By 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. Tory L Dotson, ODNPI 1790099786

Title

Doctor/ Owner

Phone

(918) 431-9939

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Locations

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.

• Tory L Dotson, O.D.

  • Optometrist
  • Tahlequah, OK
  • NPI 1790099786
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1419984000000",
    "number": "1457757429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MIMOSA LN",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645703",
            "telephone_number": "918-431-9939",
            "fax_number": "918-431-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MIMOSA LN",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645703",
            "telephone_number": "918-431-9939",
            "fax_number": "918-453-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TORY L DOTSON OD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-12-31",
        "status": "A",
        "authorized_official_last_name": "DOTSON",
        "authorized_official_first_name": "TORY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR/ OWNER",
        "authorized_official_telephone_number": "918-431-9939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200299660A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dodie Marie Toft
• Janet L Tomascheski
• Mary Tomlinson
• Tiffany Mae Toney, BSN, RN
• Teresa Lynn Toombs, CRNA
• Tracey W. Childers, D.O. P.C. (Childers Medical Group)
• Sherri Lou Trammel, ARNP
• Jim Lee Trammell, M.S.
• Ashley Jewell Trapp
• William Trousdale

• Optometrist in Tahlequah, OK
• Providers in Tahlequah, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.