Tory L Dotson, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

2649 Issued in OK

Practice address

105 Mimosa LN
Tahlequah, OK 74464-5703

Phone

(918) 431-9939

Fax

(918) 431-9945

NPI assigned

Aug 2, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tory L Dotson OD PLLC

  • Optometrist
  • Tahlequah, OK
  • NPI 1457757429
  Medicare reassignment NPD Authorized official
• Northeastern State University College of Optometry

  • Optometrist
  • Tahlequah, OK
  • NPI 1437106333
  Medicare reassignment NPD
• Tahlequah Family Vision Clinic, PLLC

  • Optometrist
  • Tahlequah, OK
  • NPI 1033313754
  NPD (past)

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

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1790099786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 S CEDAR AVE",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744644102",
            "telephone_number": "918-431-9939",
            "fax_number": "918-431-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MIMOSA LN",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645703",
            "telephone_number": "918-431-9939",
            "fax_number": "918-431-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOTSON",
        "first_name": "TORY",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "OK",
            "license": "2649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donn R Turner DO Inc.
• Donna L Schneider D O Inc
• Sydney Jane Dorrough, OTR/L
• Tschantre Eujeania Dorsett, MD
• John Richard Doss, M.D.
• Sonny Jefferson James Downing, PHARMD
• Cindy Downs, LPC
• Ryan Doyeto
• Jennifer A Doyle, COTA/L
• Dr. Thomason M McConnell DDS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.