# JARRETT ANN JOHNSON A PROFESSIONAL OPTOMETRY CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Primary Eye Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700058567
- **Authorized official:** DR. JARRETT ANN JOHNSON OD,MPH (OWNER)
- **Authorized official phone:** (504) 943-0070

## Contact information

- **Practice address:** 1530 N BROAD ST, NEW ORLEANS, LA 70119-2334
- **Practice address phone:** (504) 943-0070
- **Practice address fax:** (504) 943-0072
- **Mailing address:** 1530 N BROAD ST, NEW ORLEANS, LA 70119-2334
- **Mailing address phone:** (504) 943-0070
- **Mailing address fax:** (504) 943-0072

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | 1128-113T | LA | Yes |
| 152WC0802X | Corneal and Contact Management Optometrist | 1128-133T | LA | — |

## Other

- **Enumeration date:** 04/01/2008
- **Last updated:** 08/18/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1449652 | — | LA |