Organization
JOHNSON CITY EYE CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN JOHNSON M.D. (M.D.)
(423) 929-2111
Entity
Organization
Contact information
Practice address
110 MED TECH PKWY, SUITE 1, JOHNSON CITY, TN 37604-4004
(423) 929-2111
(423) 929-0497
Mailing address
PO BOX 5820, JOHNSON CITY, TN 37602-5820
(423) 929-2111
(423) 929-0497
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD6474
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH8361
RAILROAD MEDICARE
TN
01
—
CJ4025
RAILROAD MEDICARE
VA
01
—
CK0468
RAILROAD MEDICARE
TN
Enumeration date
06/09/2006
Last updated
01/03/2025
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