J Dean Nolan OD Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

1091 Issued in OK

Legal business name

J DEAN NOLAN OD INC

Practice address

3414 NW Cache Rd Ste E
Lawton, OK 73505-3877

Phone

(580) 353-2015

Fax

(580) 353-2022

NPI assigned

Apr 15, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dean Nolan, OD

Title

Owner

Phone

(580) 353-2015

Specialties & licenses 1

Addresses

Other identifiers 3

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.

• J Dean Nolan, O.D.

  • Optometrist
  • Lawton, OK
  • NPI 1558379669
  Medicare reassignment NPD
• Kristina Cari Flaig, OD

  • Optometrist
  • Lawton, OK
  • NPI 1578145769
  NPD (past)

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

{
    "created_epoch": "1208217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329436800000",
    "number": "1780858464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3414 NW CACHE RD STE E",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053877",
            "telephone_number": "580-353-2015",
            "fax_number": "580-353-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3414 NW CACHE RD STE E",
            "city": "LAWTON",
            "state": "OK",
            "postal_code": "735053877",
            "telephone_number": "580-353-2015",
            "fax_number": "580-353-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J DEAN NOLAN OD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-15",
        "last_updated": "2012-02-17",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "580-353-2015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "1091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "1558379669",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100765020A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "OKB5156",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivanka a. Vassileva, M.D., P.C.
• James Iverson III
• Ruthanna B Ives
• Mary Elvina Ivey-Sleight, RN
• Serratu Omosomi Iyamah
• J J Young (Cataract Center Anesthesia Group)
• J J Young MD (The Cataract Center of Lawton)
• Amira Jabai, BS
• Susan Jachim, BSN RB CMGT-BC
• Jack D Norrell LCSW PC

• 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 Feb 17, 2012; 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.