Individual
GARY W. SOKOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1005 CHARLEVOIX DR, SUITE 200, GRAND LEDGE, MI 48837-2432
(517) 627-3030
Mailing address
2001 COOLIDGE RD, EAST LANSING, MI 48823-1378
(517) 337-1668
(517) 337-1779
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
4901002829
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200000000820
PHPMM
MI
05
—
4530471
—
MI
01
—
GS002829
STATE LICENSE NUMBER
MI
01
—
P00086622
RAILROAD MEDICARE
MI
Enumeration date
11/29/2005
Last updated
07/13/2009
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