Organization
JOHNSON EYECARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL R JOHNSON O.D. (DOCTOR OF OPTOMETRY)
(563) 359-4446
Entity
Organization
Contact information
Practice address
1875 MIDDLE RD, BETTENDORF, IA 52722-3203
(563) 359-4446
(563) 359-0381
Mailing address
1875 MIDDLE RD, BETTENDORF, IA 52722-3203
(563) 359-4446
(563) 359-0381
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
IA02142
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DE1662
PALMETTO GBA
IA
Enumeration date
12/04/2006
Last updated
01/12/2010
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