Individual
DR. WAYNE EDWARD JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
10900 LOS ALAMITOS BLVD, SUITE 102, LOS ALAMITOS, CA 90720-2354
(562) 431-1301
(562) 594-0624
Mailing address
10900 LOS ALAMITOS BLVD, SUITE 102, LOS ALAMITOS, CA 90720-2354
(562) 431-1301
(562) 594-0624
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
5408T
CA
152WC0802X
Corneal and Contact Management Optometrist
Primary
5408T
CA
Other
Enumeration date
10/23/2006
Last updated
09/11/2025
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