Individual
LEAH JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
7301 E 2ND ST STE 110, SCOTTSDALE, AZ 85251-5609
(480) 690-8018
(480) 360-0049
Mailing address
7301 E 2ND ST STE 110, SCOTTSDALE, AZ 85251-5609
(480) 690-8018
(480) 690-0049
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2221
AZ
152W00000X
Optometrist
8404TG
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1124091-04
—
TX
Enumeration date
07/10/2014
Last updated
07/09/2024
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