Organization
JOHNSON OPTICAL DISPENSARY
Active
Other names
Oklahoma Eyewear
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN S EDWARDS O.D. (DOCTOR/OWNER)
(918) 426-5922
Entity
Organization
Contact information
Practice address
602 S 3RD ST, MCALESTER, OK 74501-5822
(918) 426-5922
(918) 423-2115
Mailing address
602 S 3RD ST, MCALESTER, OK 74501-5822
(918) 426-5922
(918) 423-2115
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
933
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100768860B
—
OK
01
—
261QM2500X
TAXONOMY
OK
Enumeration date
08/10/2006
Last updated
08/31/2017
Update your record
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