Individual
JAIME JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 THE SHOPS AT MISSION VIEJO, MISSION VIEJO, CA 92691-6527
(949) 364-4004
Mailing address
30 THE SHOPS AT MISSION VIEJO, MISSION VIEJO, CA 92691-6527
(949) 364-4004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
14763
CA
152W00000X
Optometrist
14763TLG
CA
Other
Enumeration date
09/04/2013
Last updated
01/23/2024
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