Individual
DR. DONALD J JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3600 WASHBURN WAY, KLAMATH FALLS, OR 97603-4539
(541) 883-1669
Mailing address
PO BOX 759, ASHLAND, OR 97520-0026
(541) 488-1417
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1642 ATI
OR
152WC0802X
Corneal and Contact Management Optometrist
1642 ATI
OR
152WL0500X
Low Vision Rehabilitation Optometrist
1642ATI
OR
152WP0200X
Pediatric Optometrist
1642ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031380
—
OR
Enumeration date
12/27/2007
Last updated
02/10/2008
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