Healthcare Provider Details

I. General information

NPI: 1144425828
Provider Name (Legal Business Name): DEAN MCGEE EYE INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2007
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 MEDICAL PARK BLVD
EDMOND OK
73013-3025
US

IV. Provider business mailing address

1005 MEDICAL PARK BLVD
EDMOND OK
73013-3025
US

V. Phone/Fax

Practice location:
  • Phone: 405-348-8016
  • Fax:
Mailing address:
  • Phone: 405-271-0913
  • Fax: 405-271-0914

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code152W00000X
TaxonomyOptometrist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332H00000X
TaxonomyEyewear Supplier
License Number
License Number State

VIII. Authorized Official

Name: GARYL GEIST
Title or Position: CEO
Credential:
Phone: 405-271-5214