Organization
CHRISTOPHER D. JOHNSON OD, PC
Active
Other names
Mid-Valley Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER DAVID JOHNSON O.D. (DOCTOR OF OPTOMETRY OWNER)
(503) 623-3538
Entity
Organization
Contact information
Practice address
986 SE UGLOW ST., DALLAS, OR 97338
(503) 623-3538
(503) 623-8112
Mailing address
986 SE UGLOW ST., DALLAS, OR 97338
(503) 623-3538
(503) 623-8112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2925ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
212606
EYEMED
—
05
—
298499
—
OR
01
—
DC770
MEDICARE RAILROAD
—
Enumeration date
11/21/2006
Last updated
04/20/2008
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