Individual
KATHLEEN ANN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
320 HEMPSTEAD AVE, W HEMPSTEAD, NY 11552-2043
(516) 565-2616
(516) 481-1953
Mailing address
320 HEMPSTEAD AVE, WEST HEMPSTEAD, NY 11552-2043
(516) 565-2616
(516) 481-1953
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
TUV007279
NY
152W00000X
Optometrist
Primary
TUV007279-01
NY
Other
Enumeration date
06/27/2008
Last updated
12/08/2020
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