Individual
MRS. JOYCE ANN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED OPTICIAN
Contact information
Practice address
14553 MADISON AVE, LAKEWOOD, OH 44107
(216) 226-8795
(216) 226-8795
Mailing address
14553 MADISON AVE, LAKEWOOD, OH 44107
(216) 226-8795
(216) 226-8795
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
568
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0273118
—
OH
Enumeration date
03/21/2007
Last updated
07/08/2007
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