MEDICARE: JAYTON MICAH SALMANS 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	3319	OK

General Provider Information

NPI Number	:	1437031945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAYTON MICAH SALMANS OD

Provider Business Mailing Address
First Line	:	202 CIRCLE DR
Second Line	:
City	:	FORT GIBSON
State	:	OK
Zip	:	74434-8530
Country	:	US
Telephone Number	:	620-623-0136
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 W HIGHWAY 62
Second Line	:
City	:	FORT GIBSON
State	:	OK
Zip	:	74434-8446
Country	:	US
Telephone Number	:	918-478-8888
Fax Number	:	918-478-3465

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

Provider Enumeration Date	:	07/24/2025
Last Update Date	:	07/24/2025

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