MEDICARE: GARY E TATUM OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	1847T	TX

General Provider Information

NPI Number	:	1376523654
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARY E TATUM OD

Provider Business Mailing Address
First Line	:	922 N WHEELER ST
Second Line	:
City	:	JASPER
State	:	TX
Zip	:	75951-3129
Country	:	US
Telephone Number	:	409-384-5192
Fax Number	:	409-384-5615

Provider Business Practice Location Address
First Line	:	922 N WHEELER ST
Second Line	:
City	:	JASPER
State	:	TX
Zip	:	75951-3129
Country	:	US
Telephone Number	:	409-384-5192
Fax Number	:	409-384-5615

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	02/15/2026

Similar Medicare Providers

1245588763 — GREGORY LEE GRAY MSN, FNP-C
Practice Location Address:

902 N WHEELER ST
JASPER, TX
75951-3129

Practice Phone: 409-384-4336
Practice Fax:

1285627190 — JHS OPERATIONS, LLC
Practice Location Address:

714 W GIBSON ST STE 4
JASPER, TX
75951-4960

Practice Phone: 409-489-9104
Practice Fax: 409-224-8164

1306511803 — PREMISE HEALTH OF TEXAS MEDICAL PA
Practice Location Address:

5114 US HIGHWAY 190 E
JASPER, TX
75951-6710

Practice Phone: 615-468-3188
Practice Fax:

1568566099 — CHARTWELL COMMUNITY SERVICES, INC.
Practice Location Address:

710 S WHEELER ST
JASPER, TX
75951-4544

Practice Phone: 409-384-6577
Practice Fax: 409-242-6634

1942203658 — MR. JOHN MICHAEL PAUZAUSKIE CRNA
Practice Location Address:

1275 MARVIN HANCOCK DR
JASPER, TX
75951-4935

Practice Phone: 409-384-5461
Practice Fax:

1902801046 — TERRY KEITH WHEELER DC
Practice Location Address:

145 CURTIS ST
JASPER, TX
75951-4505

Practice Phone: 409-384-5763
Practice Fax: 409-384-1590

Directions to “ GARY E TATUM OD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.