Active NPI
John Garber, OD
- Optometrist
- Ada, OK
National Provider Identifier
1710950159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 2157
- Practice address
- 1921 Stonecipher Boulevard
Ada, OK 74820-2847 - Phone
- (580) 421-4508
- Fax
- (580) 421-4511
- NPI assigned
- Feb 8, 2006
- Last updated
- Jul 21, 2011
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 2157 | OK | Primary |
Addresses
Primary practice location
1921 Stonecipher Boulevard
Ada, OK 74820-2847
Mailing address
1921 Stonecipher Boulevard
Ada, OK 74820-2847
Phone (580) 421-4508
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2157 | OK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311206400000",
"number": "1710950159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1921 STONECIPHER BOULEVARD",
"city": "ADA",
"state": "OK",
"postal_code": "748202847",
"telephone_number": "580-421-4508",
"fax_number": "580-421-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1921 STONECIPHER BOULEVARD",
"city": "ADA",
"state": "OK",
"postal_code": "748202847",
"telephone_number": "580-421-4508",
"fax_number": "580-421-4511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARBER",
"first_name": "JOHN",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2011-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "OK",
"license": "2157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ada, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.