Organization
S. JOHNSTON, OD PLLC
Active
Other names
Shane Johnston, OD & Associates
Organization subpart
No
Provider details
NPI number
Authorized official
SHANE JOHNSTON OD (OWNER/OPTOMETRIST)
(623) 688-7310
Entity
Organization
Contact information
Practice address
3220 N RESERVE ST, MISSOULA, MT 59808-1556
(406) 218-2730
(406) 218-2731
Mailing address
2421 HALF HITCH DR, MISSOULA, MT 59808-5472
(623) 688-7310
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
03/30/2023
Last updated
03/30/2023
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