Dr Charles W Gurley OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

1108 Issued in OK

Legal business name

DR CHARLES W GURLEY OD PC

Doing business as

Advanced Eye Care Associates

Practice address

216 W 12TH St
Ada, OK 74820-6404

Phone

(580) 332-5606

Fax

(580) 332-3946

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lequita M. Gurley

Title

Office Manager

Phone

(580) 332-5606

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Advanced Eye Care Associates Doing business as

Medicare fee-for-service enrollment

Enrolled in OK2 enrollments

Enrollment records 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charles Wendell Gurley II, O.D.

  • Optometrist
  • Ada, OK
  • NPI 1245240217
  Medicare reassignment Care Compare group NPD
• Derek Gurley, OD

  • Optometrist
  • Ada, OK
  • NPI 1154994655
  Medicare reassignment Care Compare group NPD
• Stacy G Presley, OD

  • Optometrist
  • Ada, OK
  • NPI 1164432167
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215043200000",
    "number": "1689704702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 W 12TH ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748206404",
            "telephone_number": "580-332-5606",
            "fax_number": "580-332-3946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 W 12TH ST",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748206404",
            "telephone_number": "580-332-5606",
            "fax_number": "580-332-3946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR CHARLES W GURLEY OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-07-03",
        "status": "A",
        "authorized_official_last_name": "GURLEY",
        "authorized_official_first_name": "LEQUITA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "580-332-5606",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1108",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OK",
            "license": "1108",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100741180A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beth Anneleise Donaghey
• Laura Lindsey Dooley, ARNP
• Sean Dority
• Justin Doty
• Leigh Anne Downing, AGNP
• Dr. James L Clark, DDS
• Judd Andrew Drake
• DRS. Troska, Morgan and Johnston
• Ensie Drumgo, M.S.
• Douglas Duffy, PAC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2008; 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.