DR. Mack Wray Johnson, O.D.

NPI #1831107986 in Guymon, Oklahoma

Provider Information

NPI Number: 1831107986
Entity Type: Individual
Name: DR. Mack Wray Johnson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 4, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 301 NORTHRIDGE CIR
City: Guymon
State: Oklahoma
ZIP Code: 73942-2735
Phone: (580) 338-8437

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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