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Organization

JARRETT ANN JOHNSON A PROFESSIONAL OPTOMETRY CORPORATION

Active
Other names
Primary Eye Care
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JARRETT ANN JOHNSON OD,MPH (OWNER)
(504) 943-0070
Entity
Organization

Contact information

Practice address
1530 N BROAD ST, NEW ORLEANS, LA 70119-2334
(504) 943-0070
(504) 943-0072
Mailing address
1530 N BROAD ST, NEW ORLEANS, LA 70119-2334
(504) 943-0070
(504) 943-0072

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1128-113T
LA
152WC0802X
Corneal and Contact Management Optometrist
1128-133T
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1449652
LA
Enumeration date
04/01/2008
Last updated
08/18/2015
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