Individual
TIMOTHY J. JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1623 CENTRAL AVE, LOS ALAMOS, NM 87544-3018
(505) 662-5444
(505) 662-6109
Mailing address
8801 HORIZON BLVD NE, SUITE 360, ALBUQUERQUE, NM 87113-1533
(505) 828-4923
(505) 213-0103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
458
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
F5946
—
NM
01
—
NM00P444
BC BS OF NM
NM
Enumeration date
10/24/2005
Last updated
04/20/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us