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Johnson Optical Dispensary
Medical Specialty Clinic/Center in Altus, Oklahoma
NPI 1568479871

Johnson Optical Dispensary is a Medical Specialty Clinic/Center based in Altus, OK and is specialized in Medical Specialty. Johnson Optical Dispensary practices in Altus, OK. The NPI Number for Johnson Optical Dispensary is 1568479871 and holds a License No. (Oklahoma).

The current practice location address for Johnson Optical Dispensary is 1003 N Main St, Altus, OK and can be reached out via phone at 580-477-1242 and via fax at 580-477-1249.

Location: 1003 N Main St, Altus, OK, 73521-3119
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568479871
Provider Name
Johnson Optical Dispensary
Credential
Provider Entity Type
Organization
Address
1003 N Main St, Altus, OK, 73521-3119
Phone Number
580-477-1242
Fax Number
580-477-1249
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100768860D 05 OK
institution
Provider Business Practice Location Address Details
Address
1003 N Main St
City
Altus
State
Oklahoma
Zip
73521-3119
Phone Number
580-477-1242
Fax Number
580-477-1249
person
Provider Business Mailing Address Details
Address
1003 N Main St
City
Altus
State
Oklahoma
Zip
73521-3119
Phone Number
580-477-1242
Fax Number
580-477-1249
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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