Individual
JODIE J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
963300949934
UT
152WC0802X
Corneal and Contact Management Optometrist
330094-9934
UT
152WL0500X
Low Vision Rehabilitation Optometrist
3300949934
UT
152WP0200X
Pediatric Optometrist
330094-9934
UT
152WS0006X
Sports Vision Optometrist
330094-9934
UT
152WV0400X
Vision Therapy Optometrist
330094-9934
UT
152WX0102X
Occupational Vision Optometrist
Primary
330094-9934
UT
Other
Enumeration date
07/07/2006
Last updated
09/11/2025
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