Individual
JONATHAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6757 ARAPAHO RD STE 707, DALLAS, TX 75248-4073
(972) 703-9070
Mailing address
6757 ARAPAHO RD STE 707, DALLAS, TX 75248-4073
Taxonomy
Speciality
Code
Description
License number
State
156FC0800X
Contact Lens Technician/Technologist
—
—
156FX1202X
Optometric Technician
—
—
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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