Bryan L. Johnson, O.d. P.c. is a
Optometrist based in Tishomingo, Oklahoma. Bryan L. Johnson, O.d. P.c. is licensed to practice in Oklahoma (license number ) and their current practice location is
506 E 24th St, Tishomingo, Oklahoma. It can be reached at their office (for appointments etc.) via phone at
(580) 371-2020.
NPI number for Bryan L. Johnson, O.d. P.c. is 1871718965 and their current mailing address is 506 E 24th St, Tishomingo, Oklahoma. Bryan L. Johnson, O.d. P.c.
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1871718965.
Healthcare Provider's Profile
| Full Name | Bryan L. Johnson, O.d. P.c. |
|---|
| Type | Facility |
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| Speciality | Optometrist |
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| Location | 506 E 24th St, Tishomingo, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1871718965
- Provider Enumeration Date: 04/16/2007
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Bryan L. Johnson, O.d. P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1871718965 | NPI | - | NPPES |
| 446700083-001 | Other | OK | BLUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bryan L. Johnson, O.d. P.c. is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Bryan L. Johnson, O.d. P.c.
506 E 24th St,
Tishomingo, OK 73460-3214
Ph: (580) 371-2020 | Bryan L. Johnson, O.d. P.c.
506 E 24th St,
Tishomingo, OK 73460-3214
Ph: (580) 371-2020 |
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