Johnson Optical Dispensary

NPI #1568479871 in Altus, Oklahoma

Provider Information

NPI Number
1568479871
Entity Type
Organization
Organization Name
Johnson Optical Dispensary
Primary Specialty
Clinic/Center - Medical Specialty
Enumeration Date
Aug 1, 2006
Last Updated
Jun 13, 2008

Practice Location

Address
1003 N MAIN ST
Address 2
SUITE A
City
Altus
ZIP Code
73521-3119
Phone
(580) 477-1242

Authorized Official

Name
MS. BRENDA J LABETH
Title
MANAGER
Phone
(580) 477-1242

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Medical SpecialtyMedical Specialty

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