Provider Demographics
NPI:1437031945
Name:SALMANS, JAYTON MICAH (OD)
Entity type:Individual
Prefix:
First Name:JAYTON
Middle Name:MICAH
Last Name:SALMANS
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 CIRCLE DR
Mailing Address - Street 2:
Mailing Address - City:FORT GIBSON
Mailing Address - State:OK
Mailing Address - Zip Code:74434-8530
Mailing Address - Country:US
Mailing Address - Phone:620-623-0136
Mailing Address - Fax:
Practice Address - Street 1:330 W HIGHWAY 62
Practice Address - Street 2:
Practice Address - City:FORT GIBSON
Practice Address - State:OK
Practice Address - Zip Code:74434-8446
Practice Address - Country:US
Practice Address - Phone:918-478-8888
Practice Address - Fax:918-478-3465
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK3319152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist