Timothy J. Johnson, O.D.
NPI #1205826179 in Los Alamos, New Mexico
Provider Information
- NPI Number
- 1205826179
- Entity Type
- Individual
- Name
- Timothy J. Johnson, O.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Optometrist
- Credential
- O.D.
- Enumeration Date
- Oct 24, 2005
- Last Updated
- Apr 20, 2008
Practice Location
- Address
- 1623 CENTRAL AVE
- City
- Los Alamos
- State
- New Mexico
- ZIP Code
- 87544-3018
- Phone
- (505) 662-5444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Optometrist |
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