Individual
JOHN H JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
156 NO MAIN ST, ST ALBANS, VT 05478
(802) 524-3933
(802) 524-2023
Mailing address
156 NO MAIN ST, ST ALBANS, VT 05478
(802) 524-3933
(802) 524-2023
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0300000200
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000101
—
VT
01
—
1345070001
DMERCA
—
01
—
59V013
MVP
—
01
—
8368
BCBS
—
Enumeration date
09/16/2006
Last updated
07/08/2007
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