DR. Ellyn Victoria Johnson, OD

NPI #1386694917 in Advance, North Carolina

Provider Information

NPI Number: 1386694917
Entity Type: Individual
Name: DR. Ellyn Victoria Johnson, OD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: OD
Enumeration Date: May 12, 2006
Last Updated: Sep 29, 2010

Practice Location

Address: 5380 US HIGHWAY 158
Address 2: SUITE 100
City: Advance
State: North Carolina
ZIP Code: 27006-6907
Phone: (336) 940-2015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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