Bryan L. Johnson, O.D. P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BRYAN L. JOHNSON, O.D. P.C.

Practice address

506 E 24TH St
Tishomingo, OK 73460-3214

Phone

(580) 371-2020

Fax

(580) 371-2122

NPI assigned

Apr 16, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Bryan L Johnson, O.D.

Title

Optometrist

Phone

(580) 371-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871718965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603214",
            "telephone_number": "580-371-2020",
            "fax_number": "580-371-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 E 24TH ST",
            "city": "TISHOMINGO",
            "state": "OK",
            "postal_code": "734603214",
            "telephone_number": "580-371-2020",
            "fax_number": "580-371-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN L. JOHNSON, O.D. P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "580-371-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "446700083-001",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Austin William Brasher
• Shelley Bridgeman, B.A.
• Katie Janelle Brister
• Brittany Walker
• Natalie Alise Brixey, MD
• Katelyn Bush
• Jessica Lena Calhoon
• Julie B Carroll, BHRS
• Julia Caroline Carter
• Woodrow Scott Castleberry, PTA

• Optometrist in Tishomingo, OK
• Providers in Tishomingo, OK by specialty
• Optometrist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.