Individual
CHAD A JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1626 TUTTLE ST, SUITE 1, BARABOO, WI 53913
(608) 356-2020
(680) 356-6787
Mailing address
1626 TUTTLE ST, SUITE 1, BARABOO, WI 53913
(608) 356-2020
(680) 356-6787
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1875-035
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720030133
—
WI
Enumeration date
05/16/2006
Last updated
01/22/2016
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