Individual
MR. JOHN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6224 CAMP BOWIE BLVD, FORT WORTH, TX 76116-5525
(817) 761-1716
(817) 761-1726
Mailing address
6224 CAMP BOWIE BLVD, FORT WORTH, TX 76116-5525
(817) 761-1716
(817) 761-1726
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
8603
TX
Other
Enumeration date
01/07/2015
Last updated
08/26/2021
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