DR. Karl David Johannessen, OD

NPI #1306863105 in Melbourne, Florida

Provider Information

NPI Number: 1306863105
Entity Type: Individual
Name: DR. Karl David Johannessen, OD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: Jul 16, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 6300 N WICKHAM RD
Address 2: UNIT 123
City: Melbourne
State: Florida
ZIP Code: 32940-2028
Phone: (321) 751-7270

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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