Individual
DR. ERIC D. JOHANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
440 N HIGHWAY 90 BYP STE B3, SIERRA VISTA, AZ 85635
(520) 459-7466
(520) 458-0533
Mailing address
955 W SOUTHERN AVE STE 101, MESA, AZ 85210-4903
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT-001897
AZ
Other
Enumeration date
06/18/2012
Last updated
01/22/2025
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