Provider Demographics
NPI:1093805913
Name:MCFERRON, JOHN ARTHUR (OD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:ARTHUR
Last Name:MCFERRON
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 151
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:OK
Mailing Address - Zip Code:74355-0151
Mailing Address - Country:US
Mailing Address - Phone:918-542-2020
Mailing Address - Fax:918-542-9806
Practice Address - Street 1:16 2ND AVE NW
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:OK
Practice Address - Zip Code:74354-6225
Practice Address - Country:US
Practice Address - Phone:918-542-2020
Practice Address - Fax:918-542-9806
Is Sole Proprietor?:No
Enumeration Date:2006-10-13
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK984152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK100765980AMedicaid
OK730942133Medicare ID - Type Unspecified
OK100765980AMedicaid