Individual
DR. DARIN LEE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1525 31ST AVE SW, SUITE E, MINOT, ND 58701-2016
(701) 857-6050
(701) 857-6052
Mailing address
3118 NORTHVIEW DRIVE, COLEHARBOR, ND 58531
(701) 240-0812
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3022
MN
152W00000X
Optometrist
Primary
648
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60447
—
ND
01
—
712844
MEDICARE PTAN
ND
Enumeration date
08/16/2006
Last updated
11/28/2011
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