Organization
GUYMON VISION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MACK WRAY JOHNSON O.D. (PRESIDENT)
(580) 338-8437
Entity
Organization
Contact information
Practice address
301 NORTHRIDGE CIR, GUYMON, OK 73942-2735
(580) 338-8437
(580) 338-8361
Mailing address
301 NORTHRIDGE CIR, GUYMON, OK 73942-2735
(580) 338-8437
(580) 338-8361
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
04/02/2008
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