DR. Ryan Scott Johnson, O.D.

NPI #1184653404 in Chubbuck, Idaho

Provider Information

NPI Number: 1184653404
Entity Type: Individual
Name: DR. Ryan Scott Johnson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 30, 2006
Last Updated: Jul 19, 2021

Practice Location

Address: 4240 YELLOWSTONE AVE
City: Chubbuck
State: Idaho
ZIP Code: 83202-2420
Phone: (208) 238-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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