Individual
ERIKA DANIELLE JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4101 TOWNE CENTER DR, TARGET OPTICAL, LOUISVILLE, KY 40241-4146
(502) 425-7672
(502) 425-3973
Mailing address
11608 SUMMIT CREST DR, APT 302, LOUISVILLE, KY 40229-8337
(502) 598-9671
(502) 425-3973
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1984DT
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1984DT
STATE LICENSE
KY
Enumeration date
08/10/2015
Last updated
12/08/2016
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