DR. Danielle Rae Johnson, OD

NPI #1023637733 in Hayden, Idaho

Provider Information

NPI Number: 1023637733
Entity Type: Individual
Name: DR. Danielle Rae Johnson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Apr 13, 2020
Last Updated: Jun 7, 2022

Practice Location

Address: 8220 N CORNERSTONE DR STE A
City: Hayden
State: Idaho
ZIP Code: 83835-8683
Phone: (208) 772-5539

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist - Pediatrics — Pediatrics	152WP0200X
Student in an Organized Health Care Education/Training Program	390200000X
Optometrist	152W00000X	Primary

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