Organization
TORY L DOTSON OD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TORY L DOTSON OD (DOCTOR/ OWNER)
(918) 431-9939
Entity
Organization
Contact information
Practice address
105 MIMOSA LN, TAHLEQUAH, OK 74464-5703
(918) 431-9939
(918) 453-9945
Mailing address
105 MIMOSA LN, TAHLEQUAH, OK 74464-5703
(918) 431-9939
(918) 431-9945
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2649
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200299660A
—
OK
Enumeration date
11/18/2014
Last updated
12/31/2014
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