Individual
JOSEPH H JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5761 W HIDDEN SPRINGS DR STE 100, BOISE, ID 83714-9453
(907) 225-2020
Mailing address
5761 W HIDDEN SPRINGS DR STE 100, BOISE, ID 83714-9453
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
10814339-9934
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10814339-9934
UTAH LICENSE NUMBER
UT
Enumeration date
05/22/2018
Last updated
06/08/2026
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