OrganizationActive
Bryan L. Johnson, O.D. P.C.
NPI 1871718965 · Optometrist · Tishomingo, OK
Provider details
- NPI number
- 1871718965
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Bryan Johnson, Optometrist(580) 371-2020
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
506 E 24th St
Tishomingo, OK 73460-3214
Phone: (580) 371-2020
Fax: (580) 371-2122
Approximate (ZIP-level) locationGet directions
Mailing address
506 E 24th St
Tishomingo, OK 73460-3214
Registry dates
- Enumerated
- 2007-04-16
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.