Organization
DR JAY D JOHNSON OPTOMETRIST PLC
Active
Other names
Heritage Vision Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIE JOHNSON JD (GENERAL MANAGER)
(405) 360-6285
Entity
Organization
Contact information
Practice address
7000 CROSSROADS BLVD, SUITE 1152, OKLAHOMA CITY, OK 73149-3202
(405) 632-2300
(405) 632-2939
Mailing address
7000 CROSSROADS BLVD, SUITE 1152, OKLAHOMA CITY, OK 73149-3202
(405) 632-2300
(405) 632-2939
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200083870A
—
OK
Enumeration date
04/11/2007
Last updated
04/23/2009
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