Johnson Eye Clinic, P.a
NPI #1184700825 in Worthington, Minnesota
Provider Information
- NPI Number
- 1184700825
- Entity Type
- Organization
- Organization Name
- Johnson Eye Clinic, P.a
- Primary Specialty
- Optometrist
- Enumeration Date
- Oct 27, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 702 10TH ST
- City
- Worthington
- State
- Minnesota
- ZIP Code
- 56187-2767
- Phone
- (507) 376-5535
Authorized Official
- Name
- WALLACE S JOHNSON, O.D.
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (507) 376-5535
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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