NPIMap

Organization Active NPI

Dean McGee Eye Institute

  • Optometrist
  • Lawton, OK
National Provider Identifier
1710103395
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DEAN MCGEE EYE INSTITUTE
Practice address
3201 W Gore Blvd
Lawton, OK 73505-6378
Phone
(580) 250-5855
Fax
(580) 250-5808
NPI assigned
Apr 18, 2007
Organization subpart
Yes
Parent organization
DEAN MCGEE EYE INSTITUTEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Authorized official

Name
Garyl Geist
Title
Ceo
Phone
(405) 271-5214

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

3201 W Gore Blvd
Lawton, OK 73505-6378

Mailing address

3201 W Gore Blvd
Lawton, OK 73505-6378
Phone (580) 250-5855

Other identifiers 1

IdentifierTypeStateIssuer
100749530CMedicaidOK

Other names 1

  • DEAN MCGEE OPTICAL SERVICES Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@directdmei.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930024292 OK DME Supplier - OpticianDME Supplier - Prosthetic Personnel 3779495353 Practice locations: Lawton, OK

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Dean McGee Eye Institute4 organizations share this tax ID, including this one
Part of
Dean McGee Eye Institute

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3201 W Gore Blvd
Ste 200
Lawton, OK 73505
Phone (405) 271-6060

608 Stanton L Young Blvd
#307C
Oklahoma City, OK 73104

3500 NW 56th St
Ste 101
Oklahoma City, OK 73112
Phone (405) 271-9500

Practitioners & affiliated clinicians

Practitioners 45

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

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1710103395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056378",
            "telephone_number": "580-250-5855",
            "fax_number": "580-250-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735056378",
            "telephone_number": "580-250-5855",
            "fax_number": "580-250-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEAN MCGEE EYE INSTITUTE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEAN MCGEE EYE INSTITUTE",
        "enumeration_date": "2007-04-18",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "GEIST",
        "authorized_official_first_name": "GARYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-271-5214"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100749530C",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@directdmei.org",
            "affiliation": "N",
            "address_1": "3201 W Gore Blvd",
            "city": "Lawton",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735056378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "DEAN MCGEE OPTICAL SERVICES",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lawton, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.