Individual
DR. JENNIFER L JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
124 E BANDERA RD, STE 403, BOERNE, TX 78006-2849
(830) 331-8745
(866) 897-9855
Mailing address
124 E BANDERA RD, STE 403, BOERNE, TX 78006-2849
(830) 331-8745
(866) 897-9855
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5869TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168232001
—
TX
Enumeration date
01/11/2007
Last updated
09/14/2011
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