DR. Tyler J Johnson, O.D.

NPI #1205810868 in St Louis Park, Minnesota

Provider Information

NPI Number: 1205810868
Entity Type: Individual
Name: DR. Tyler J Johnson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Dec 6, 2005
Last Updated: Mar 2, 2012

Practice Location

Address: 3900 PARK NICOLLET BLVD
City: St Louis Park
State: Minnesota
ZIP Code: 55416-2503
Phone: (952) 993-3150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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