Organization
DALE S JOHNSON OD PA
Active
Other names
EyeCare of Longwood
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE S. JOHNSON O.D. (PRESIDENT)
(407) 261-0505
Entity
Organization
Contact information
Practice address
983 W STATE ROAD 434, LONGWOOD, FL 32750-5103
(407) 261-0505
(407) 831-4936
Mailing address
983 W STATE ROAD 434, LONGWOOD, FL 32750-5103
(407) 261-0505
(407) 831-4936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2675
FL
Other
Enumeration date
03/28/2007
Last updated
12/29/2008
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