Individual
CYNTHIA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
11 SHRINER ST, VERMILLION, SD 57069-1155
(605) 624-2020
Mailing address
11 SHRINER ST, VERMILLION, SD 57069-1155
(605) 624-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
SD153
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9201670
—
SD
Enumeration date
06/05/2006
Last updated
02/13/2008
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