Fort Gibson Family Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FORT GIBSON FAMILY EYECARE PLLC

Practice address

330 W Highway 62
Fort Gibson, OK 74434-8446

Phone

(918) 478-8888

NPI assigned

Jul 11, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Kelsey Buford, O.D.NPI 1821641267

Title

Optometrist/Owner

Phone

(605) 933-1574

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 2

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

• Kelsey Buford, OD

  • Optometrist
  • Fort Gibson, OK
  • NPI 1821641267
  Medicare reassignment Care Compare group NPD Authorized official
• Jayton Micah Salmans, OD

  • Optometrist
  • Fort Gibson, OK
  • NPI 1437031945
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1750128385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 W HIGHWAY 62",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744348446",
            "telephone_number": "918-478-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 W HIGHWAY 62",
            "city": "FORT GIBSON",
            "state": "OK",
            "postal_code": "744348446",
            "telephone_number": "918-478-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT GIBSON FAMILY EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-11",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "BUFORD",
        "authorized_official_first_name": "KELSEY",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "605-933-1574",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald M Elgin, MD
• Frank J Evans, DDS
• Cindy Farmer
• Sandy Lynne Foltz
• Fort Gibson Family Dentistry PC
• Fort Gibson Healthcare, LLC
• Fort Gibson Management LLC
• Fort Gibson Public Schools
• Katelyn Foster
• Frank J Evans, DDS, PLLC

• Optometrist in Fort Gibson, OK
• Providers in Fort Gibson, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; 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.