# TAMMY L JOHNSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1326180076
- **Gender:** F
- **Credential:** OPTICIAN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 156FX1800X | Optician | DO1822 | WA | Yes |

## Other

- **Enumeration date:** 02/12/2007
- **Last updated:** 07/08/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2026979 | — | WA |
| 01 | — | 212744 | 212744 | — |
| 01 | — | LO22314 | 22314 | — |
| 01 | — | WA0851 | 0851 | — |