Organization
N & J OPTICAL SUPPLY INC
Active
Other names
Professional Vision Care
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL V. JOHNSTON O.D. (PRESIDENT)
(712) 755-2150
Entity
Organization
Contact information
Practice address
2110 12TH ST, HARLAN, IA 51537-2056
(712) 755-2150
(712) 755-7555
Mailing address
2110 12TH ST, PO BOX 270, HARLAN, IA 51537-2056
(712) 755-2150
(712) 755-7555
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
01898
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1284455
—
IA
Enumeration date
12/18/2007
Last updated
01/28/2008
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