MEDICARE: MADISON JANE GERK

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	3298	OK

General Provider Information

NPI Number	:	1508651217
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON JANE GERK

Provider Business Mailing Address
First Line	:	405 S 1ST PL
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74012-4149
Country	:	US
Telephone Number	:	918-577-1191
Fax Number	:

Provider Business Practice Location Address
First Line	:	10010 E 81ST ST STE 100
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-4558
Country	:	US
Telephone Number	:	918-250-2020
Fax Number	:

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

Provider Enumeration Date	:	04/12/2025
Last Update Date	:	03/05/2026

Similar Medicare Providers

1659361541 — DANIEL W LANGLEY DO
Practice Location Address:

10010 E. 81ST ST , 100
TULSA, OK
74133-4558

Practice Phone: 918-250-2020
Practice Fax: 918-250-2020

1750475760 — EYECARE ASSOCIATES OF SOUTH TULSA PC
Practice Location Address:

10010 E 81ST ST STE 100
TULSA, OK
74133-4558

Practice Phone: 918-250-2020
Practice Fax: 918-250-8910

1174054860 — SHEHZAD Y BATLIWALA D.O
Practice Location Address:

10010 E 81ST ST STE 100
TULSA, OK
74133-4558

Practice Phone: 918-250-2020
Practice Fax:

1184364093 — CODY SCOTT WARD
Practice Location Address:

10010 E 81ST ST STE 100
TULSA, OK
74133-4558

Practice Phone: 918-444-4000
Practice Fax:

1922793058 — TAYLOR VINCENT
Practice Location Address:

10010 E 81ST ST STE 100
TULSA, OK
74133-4558

Practice Phone: 918-250-2020
Practice Fax:

1588741763 — SUZANNE BROYLES L.P.C.
Practice Location Address:

4825 S PEORIA AVE , SUITE 7
TULSA, OK
74105-4558

Practice Phone: 918-665-0208
Practice Fax: 918-665-0216

Directions to “ MADISON JANE GERK ” 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.