Individual
SARAH A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
15661 SAN CARLOS BLVD UNIT 4, FORT MYERS, FL 33908-2797
(239) 887-3187
Mailing address
1360 E VENICE AVE, VENICE, FL 34285-9066
(941) 480-2135
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1513
NH
152W00000X
Optometrist
OEG004312
PA
152W00000X
Optometrist
Primary
OPC4329
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110080863A
—
MA
05
—
3091241
—
NH
Enumeration date
08/06/2008
Last updated
10/13/2025
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