Organization
SCOTT JOHNSON VISIONCARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT E JOHNSON O.D. (OPTOMETRIST)
(870) 763-0760
Entity
Organization
Contact information
Practice address
1005 N 6TH ST, BLYTHEVILLE, AR 72315-1707
(870) 763-0760
(870) 838-1051
Mailing address
PO BOX 1649, BLYTHEVILLE, AR 72316-1649
(870) 763-0760
(870) 838-1051
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2479
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134831722
—
AR
Enumeration date
09/13/2007
Last updated
12/01/2011
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