Individual
DR. THOMAS ALAN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
407 SMITH DR, AUBURN, IN 46706-3655
(260) 925-3116
(260) 925-3269
Mailing address
407 SMITH DR, P.O.BOX 522, AUBURN, IN 46706-3655
(260) 925-3116
(260) 925-3269
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
18001657B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100103700A
—
IN
Enumeration date
09/15/2005
Last updated
12/04/2012
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