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Individual

DR. TAMMRA ROESENER JOHNSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
412 REMINGTON ST, FORT COLLINS, CO 80524-2911
(970) 482-4700
(970) 482-0966
Mailing address
412 REMINGTON ST, FORT COLLINS, CO 80524-2911
(970) 482-4700
(970) 482-0966

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
1292
CO
152WC0802X
Corneal and Contact Management Optometrist
1292
CO
152WP0200X
Pediatric Optometrist
Primary
1292
CO
152WV0400X
Vision Therapy Optometrist
1292
CO

Other

Enumeration date
05/21/2007
Last updated
09/11/2025
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