Organization Active NPI

Gary R. Morgan, Optometrist, P.C.

  • Optometrist
  • Tahlequah, OK
National Provider Identifier
1962821546
Registry record updated Apr 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
OK925 Issued in OK
Legal business name
GARY R. MORGAN, OPTOMETRIST, P.C.
Practice address
2010 S Muskogee Ave Ste B
Tahlequah, OK 74464-5439
Phone
(918) 456-0020
Fax
(918) 456-0030
NPI assigned
Apr 10, 2014
Organization subpart
Yes
Parent organization
GARY R. MORGAN, OPTOMETRIST, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 10, 2014

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

Authorized official

Name
Dr. Gary R Morgan, O.D.
Title
Owner/Optometrist
Phone
(918) 456-0020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X OK925 OK Primary

Addresses

Primary practice location

2010 S Muskogee Ave Ste B
Tahlequah, OK 74464-5439

Mailing address

2010 S Muskogee Ave Ste B
Tahlequah, OK 74464-5439
Phone (918) 456-0020

National Provider Directory

National Provider Directory
Part of
Gary Morgan Optometrist PC

Locations

2010 S Muskogee Ave
Ste B
Tahlequah, OK 74464
Phone (918) 456-0020

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1397088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397088000000",
    "number": "1962821546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 S MUSKOGEE AVE STE B",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645439",
            "telephone_number": "918-456-0020",
            "fax_number": "918-456-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 S MUSKOGEE AVE STE B",
            "city": "TAHLEQUAH",
            "state": "OK",
            "postal_code": "744645439",
            "telephone_number": "918-456-0020",
            "fax_number": "918-456-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY R. MORGAN, OPTOMETRIST, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GARY R. MORGAN, OPTOMETRIST, P.C.",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "918-456-0020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": "OK925",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tahlequah, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.