Individual
KIMBERLY A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
902 AVENUE D STE 102B, GOTHENBURG, NE 69138-1955
(308) 537-2020
(308) 537-2280
Mailing address
1214 COUNTRYSIDE LN, GOTHENBURG, NE 69138-2500
(308) 537-3166
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1232
NE
152WC0802X
Corneal and Contact Management Optometrist
1232
NE
152WL0500X
Low Vision Rehabilitation Optometrist
1232
NE
152WP0200X
Pediatric Optometrist
1232
NE
152WS0006X
Sports Vision Optometrist
1232
NE
152WV0400X
Vision Therapy Optometrist
1232
NE
152WX0102X
Occupational Vision Optometrist
1232
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025277400
—
NE
01
—
2804450
MEDICARE PROVIDER NUMBER
NE
Enumeration date
07/05/2006
Last updated
02/21/2013
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