Organization
JEFFREY C. JOHNSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY C JOHNSON O.D. (MANAGER)
(208) 377-8899
Entity
Organization
Contact information
Practice address
7960 W RIFLEMAN STREET, SUITE 150, BOISE, ID 83704
(208) 377-8899
(208) 321-1952
Mailing address
7960 W RIFLEMAN STREET, SUITE 150, BOISE, ID 83704
(208) 377-8899
(208) 321-1952
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ODP843
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1378685
MEDICARE GROUP ID#
ID
05
—
1568632941
—
ID
Enumeration date
03/03/2008
Last updated
04/04/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us