Individual
DR. JOHN LINDSAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
200 E CHEROKEE ST, WAGONER, OK 74467-4704
(918) 485-8439
Mailing address
200 E CHEROKEE ST, WAGONER, OK 74467-4704
(918) 485-8439
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2340
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100766740A
—
OK
Enumeration date
07/20/2006
Last updated
09/25/2013
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