Organization
ULTIMATE VISION, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN MACE O.D. (OWNER)
(405) 324-0001
Entity
Organization
Contact information
Practice address
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
Enumeration date
01/31/2007
Last updated
06/16/2014
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