Organization
JOHNSON OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOYCE A JOHNSON (LICENSED/DISPENSING OPTICIAN)
(216) 226-8795
Entity
Organization
Contact information
Practice address
14553 MADISON AVE, LAKEWOOD, OH 44107-4325
(216) 226-8795
(216) 226-8795
Mailing address
14553 MADISON AVE, LAKEWOOD, OH 44107-4325
(216) 226-8795
(216) 226-8795
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
O273118
—
OH
Enumeration date
04/22/2008
Last updated
04/22/2008
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