Susan Ly Johnson, O.D.

NPI #1235683889 in Boerne, Texas

Provider Information

NPI Number: 1235683889
Entity Type: Individual
Name: Susan Ly Johnson, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Aug 12, 2016
Last Updated: Feb 28, 2018

Practice Location

Address: 124 E BANDERA RD STE 403
City: Boerne
State: Texas
ZIP Code: 78006-2849
Phone: (830) 331-8745

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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