Individual
DR. JOHN MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
ULTIMATE VISION, 334 S. MUSTANG RD, YUKON, OK 73099-6703
(405) 324-0001
(405) 324-0015
Mailing address
334 S. MUSTANG RD, YUKON, OK 73099-6703
(405) 324-0001
(405) 324-0015
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2308
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2004380027309
TRICARE
OK
Enumeration date
10/31/2006
Last updated
07/06/2020
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