Individual
DR. C STEPHEN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD FAAO
Contact information
Practice address
2551 SAN RAMON VALLEY BLV, STE 101, SAN RAMON, CA 94583-1661
(925) 743-1222
(925) 743-1221
Mailing address
2551 SAN RAMON VALLEY BLV, STE 101, SAN RAMON, CA 94583-1661
(925) 743-1222
(925) 743-1221
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5287T
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00175769
RAILROAD MEDICARE PIN#
CA
Enumeration date
07/13/2005
Last updated
10/14/2008
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