Individual
DR. DENISE B JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
8430 N 123RD EAST AVE, OWASSO, OK 74055-2130
(918) 272-5755
(918) 272-0330
Mailing address
8430 N 123RD EAST AVE, OWASSO, OK 74055-2130
(918) 272-5755
(918) 272-0330
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2057
OK
Other
Enumeration date
02/01/2006
Last updated
02/28/2014
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