Individual
DR. KARA DURICK JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
12771 RIVERDALE BLVD NW, SUITE 103, COON RAPIDS, MN 55448-1262
(763) 421-1220
(763) 421-1291
Mailing address
12771 RIVERDALE BLVD NW, SUITE 103, COON RAPIDS, MN 55448-1262
(763) 421-1220
(763) 421-1291
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2732
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005323600
MN CARE
MN
01
—
04S60DU
BLUE CROSS BLUE SHIELD
MN
01
—
131053
UCARE
MN
01
—
2200839
MEDICA
MN
01
—
2200840
MEDICA
MN
01
—
30187
EYEMED
MN
01
—
847271021774
PREFERRED ONE
MN
01
—
921871021774
PREFERRED ONE
MN
Enumeration date
09/28/2006
Last updated
05/28/2014
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