Healthcare Provider Details

I. General information

NPI: 1710103395
Provider Name (Legal Business Name): DEAN MCGEE EYE INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2007
Last Update Date: 02/08/2023
Certification Date: 02/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3201 W GORE BLVD
LAWTON OK
73505-6378
US

IV. Provider business mailing address

3201 W GORE BLVD
LAWTON OK
73505-6378
US

V. Phone/Fax

Practice location:
  • Phone: 580-250-5855
  • Fax: 580-250-5808
Mailing address:
  • Phone: 580-250-5855
  • Fax: 580-250-5808

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

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