Dale S Johnson Od PA

NPI #1427177039 in Longwood, Florida

Provider Information

NPI Number: 1427177039
Entity Type: Organization
Organization Name: Dale S Johnson Od PA
Primary Specialty: Optometrist
Enumeration Date: Mar 28, 2007
Last Updated: Dec 29, 2008

Practice Location

Address: 983 W STATE ROAD 434
City: Longwood
State: Florida
ZIP Code: 32750-5103
Phone: (407) 261-0505

Authorized Official

Name: DR. DALE S. JOHNSON, O.D.
Title: PRESIDENT
Phone: (407) 261-0505

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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