Individual
ERICK JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2201 W DOLARWAY RD STE 2, ELLENSBURG, WA 98926-8228
(509) 925-1000
(509) 925-2474
Mailing address
2201 W DOLARWAY RD STE 2, ELLENSBURG, WA 98926-8228
(509) 925-1000
(509) 925-2474
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
390200000X
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2044049
—
WA
Enumeration date
03/14/2011
Last updated
12/28/2020
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