Eye Care on Gore PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

805 Issued in OK

Legal business name

EYE CARE ON GORE PLLC

Practice address

1415 W Gore Blvd
Lawton, OK 73501-3606

Phone

(580) 355-3036

Fax

(580) 248-1162

NPI assigned

Oct 30, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John E Barnes, O.D.

Title

Owner

Phone

(580) 355-3036

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1720267461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013606",
            "telephone_number": "580-355-3036",
            "fax_number": "580-248-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W GORE BLVD",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735013606",
            "telephone_number": "580-355-3036",
            "fax_number": "580-248-1162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ON GORE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "BARNES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-355-3036",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100769060A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Etta Evans, NURSE PRACTITIONER
• Janet Evans, RN
• Johnah Briann Evans
• Meghan Elizabeth Evans, RN,IBCLC
• Sherryl A. Evans, PA
• Eye Health Associates, P.L.L.C.
• Eyemart Express LLC
• Eyemart Express, LTD.
• Gustavo Adolfo Fabrega, M.D.
• Jayme Elizabeth Fairchild

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.