Individual
KRISTEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14607 W CENTER RD, OMAHA, NE 68144-3219
(402) 330-3000
Mailing address
14607 W CENTER RD, OMAHA, NE 68144-3219
(402) 330-3000
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1463
NE
Other
Enumeration date
10/10/2012
Last updated
03/23/2017
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