Organization
DOUGLAS JOHNSON, OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN OWEN (OFFICE MANAGER)
(727) 584-5748
Entity
Organization
Contact information
Practice address
148 13TH ST SW, LARGO, FL 33770-3127
(727) 584-5748
(727) 584-7872
Mailing address
148 13TH ST SW, LARGO, FL 33770-3127
(727) 584-5748
(727) 584-7872
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078244100
—
FL
Enumeration date
04/08/2008
Last updated
04/17/2008
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