Gerald W. Graefe Odinc

Primary specialty

OptometristTaxonomy code 152W00000X

License

837 Issued in OK

Legal business name

GERALD W. GRAEFE ODINC

Practice address

2310 S Garnett Rd
Tulsa, OK 74129-5110

Phone

(918) 664-1180

Fax

(918) 627-0359

NPI assigned

Mar 28, 2007

Organization subpart

No

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

Authorized official

Name

Gerald W Graefe, OD

Title

Owner

Phone

(918) 664-1180

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1760501928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741295110",
            "telephone_number": "918-664-1180",
            "fax_number": "918-627-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 S GARNETT RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741295110",
            "telephone_number": "918-664-1180",
            "fax_number": "918-627-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERALD W. GRAEFE ODINC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "GRAEFE",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "918-664-1180",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100252590A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dalia Georgy, DDS
• Ibrahim Adly Georgy, M.D.
• Mira Georgy, M.D.
• Micah Gerakinis, DO
• Gerald R Hale DO PLLC
• Melissa Rae Gerald, DO
• Andrew Rene Gerard
• Joyce Gerard
• Terry R Gerard, DO
• Tracey Amanda Gerard

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.

Verify at the official NPI Registry.