Individual
ELIZABETH MCCLAIN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
231 NEW BYHALIA RD STE 100, COLLIERVILLE, TN 38017-3776
(901) 854-6798
Mailing address
11103 WEST AVE, SUITE 6, SAN ANTONIO, TX 78213-1370
(210) 524-6663
(210) 524-6587
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD1725
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3944361
—
TN
Enumeration date
12/22/2006
Last updated
04/04/2019
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