Organization
DENISE JOHNSON, OD,PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENISE B JOHNSON O.D. (MEMBER)
(918) 272-5755
Entity
Organization
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
01/06/2009
Last updated
06/09/2010
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