Samuel D Johnson Od Pllc

NPI #1417446097 in Fairmont, North Carolina

Provider Information

NPI Number: 1417446097
Entity Type: Organization
Organization Name: Samuel D Johnson Od Pllc
Primary Specialty: Optometrist
Enumeration Date: May 9, 2018
Last Updated: May 9, 2018

Practice Location

Address: 204 IONA ST
City: Fairmont
State: North Carolina
ZIP Code: 28340-1616
Phone: (910) 628-8316

Authorized Official

Name: SAMEUL JOHNSON, OD
Title: OWNER
Phone: (910) 628-8316

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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Hal C Herring JR., OD, PA	Optometrist	Fairmont	AI Deep Dive
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Samuel David Johnson, O.D.	Optometrist	Fairmont	AI Deep Dive

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Provider Name	Specialty	City
Hal C Herring Jr Od PA	Optometrist	Fairmont	AI Deep Dive

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