Jeffrey C Johnson, O.D.

NPI #1326129420 in Boise, Idaho

Provider Information

NPI Number
1326129420
Entity Type
Individual
Name
Jeffrey C Johnson, O.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Optometrist
Credential
O.D.
Enumeration Date
Oct 17, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
7960 W RIFLEMAN ST
Address 2
SUITE #150
City
Boise
State
Idaho
ZIP Code
83704-9066
Phone
(208) 377-8899

Specialties & Taxonomy Codes

Specialty
Optometrist

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