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Individual

DR. ALAN JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
(509) 747-2635
Mailing address
427 S BERNARD ST, SPOKANE, WA 99204-2509
(509) 456-0107
(509) 747-2635

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD00003366
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000010015440
ASURIS(REGENCE BS OF ID)
ID
01
003047501
PUBLIC ASSISTANCE
ID
01
115756
LABOR AND INDUSTRIES
WA
01
14870
GROUP HEALTH
WA
05
2022010
WA
01
410033917
RAILROAD MEDICARE
WA
01
A023
TRICARE
WA
01
JO2217
ASURIS(REGENCE NW HEALTH)
WA
01
WA0690
NORTHWEST BENEFIT NETWORK
WA
Enumeration date
07/14/2005
Last updated
07/30/2024
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