Organization
JOHNSON EYECARE, LLC
Active
Organization
JOHNSON EYECARE, LLC
Active
Other names
JOHNSON EYECARE, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARAH ANN JOHNSON OD (OWNER)
(339) 221-4549
Entity
Organization
Contact information
Practice address
15661 SAN CARLOS BLVD, FORT MYERS, FL 33908-2797
(339) 221-4549
Mailing address
8584 BIG MANGROVE DR, FORT MYERS, FL 33908-7694
(339) 221-4549
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
OPC4329
ZZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
720219
—
FL
Enumeration date
09/06/2018
Last updated
09/06/2018
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