DR. Timothy Steven Johnson, O.D.

NPI #1871629170 in Coon Rapids, Minnesota

Provider Information

NPI Number: 1871629170
Entity Type: Individual
Name: DR. Timothy Steven Johnson, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 23, 2007
Last Updated: Mar 17, 2018

Practice Location

Address: 12771 RIVERDALE BLVD NW STE 103
City: Coon Rapids
State: Minnesota
ZIP Code: 55448-1263
Phone: (763) 421-1220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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