Organization
MID TOWN OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN JOHNSON (OWNER/OPTICAN)
(405) 360-5505
Entity
Organization
Contact information
Practice address
330 W GRAY ST STE 130, NORMAN, OK 73069-7111
(405) 360-5505
Mailing address
330 W GRAY ST STE 130, NORMAN, OK 73069-7111
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
332H00000X
Eyewear Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200117730 A
—
OK
Enumeration date
02/25/2008
Last updated
02/25/2008
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