Rsjohnson Od Pllc

NPI #1760052401 in Chubbuck, Idaho

Provider Information

NPI Number: 1760052401
Entity Type: Organization
Organization Name: Rsjohnson Od Pllc
Primary Specialty: Optometrist
Enumeration Date: Jun 25, 2021
Last Updated: Jun 25, 2021

Practice Location

Address: 4240 YELLOWSTONE AVE
City: Chubbuck
State: Idaho
ZIP Code: 83202-2420
Phone: (208) 241-9145

Authorized Official

Name: DR. RYAN S JOHNSON, OD
Title: OWNER
Phone: (208) 241-9145

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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