Kelly E Glass (NPI# 1023425675, PAC ID# 7416273529) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1023425675 |
| PAC ID by PECOS | 7416273529 |
| Professional Enrollment ID | I20161215001722 |
| Full Name | Kelly E Glass |
| Organization Legal Name | DEBBIE S. COY, O.D. P.C. |
| Address |
330 W Hwy 62 Fort Gibson OK 74434-8446 |
| Phone Number | 9184788888 |
| Gender | F |
| Medical School | UNIVERSITY OF HOUSTON - COLLEGE OF OPTOMETRY |
| Graduation Year | 2014 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 7113026956 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 330 W Hwy 62, Fort Gibson, OK 74434-8446 | 9184788888 | DEBBIE S. COY, O.D. P.C. |
| Organization Legal Name | DEBBIE S. COY, O.D. P.C. |
| Physicians | 1 |
| Street Address |
330 W HWY 62 |
| City | FORT GIBSON |
| State | OK |
| Zip | 74434-8446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debbie S Coy | Optometry | 330 W Hwy 62, Fort Gibson, OK 74434-8446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charity Dawn Johnson | Family Medicine | Warren Clinic Inc | 108 Lone Oak Cir, Fort Gibson, OK 74434-5001 |
| Lisa Renfrow | Nurse Practitioner | Tahlequah Medical Group LLC | 104 Lone Oak Circle, Ft Gibson Medical, Ft Gibson, OK 74434-5001 |
| Andrew R Olshen | Physical Medicine and Rehabilitation | Tahlequah Medical Group LLC | 104 Lone Oak Circle, Ft Gibson Medical, Ft Gibson, OK 74434-5001 |
| Steven A Smith | Dermatology | Tahlequah Medical Group LLC | 104 Lone Oak Circle, Ft Gibson Medical, Ft Gibson, OK 74434-5001 |
| Charles R Mutch | Physician Assistant | Tahlequah Medical Group LLC | 104 Lone Oak Circle, Ft Gibson Medical, Ft Gibson, OK 74434-5001 |
| Garry T Page Jr. | Chiropractic | 1596 S Lee St, Fort Gibson, OK 74434-8403 | |
| Ann Elizabeth Page | Chiropractic | 1596 S Lee St, Fort Gibson, OK 74434-8403 | |
| Dennis H Garrison | Optometry | 799 S Lee St, Fort Gibson, OK 74434-8708 |
| City | FORT GIBSON |
| Zip Code | 74434 |
| Specialty | OPTOMETRY |
| City + Specialty | FORT GIBSON + OPTOMETRY |
Please comment or provide details below to improve the information on Kelly E Glass.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.