Organization
DONALD J JOHNSON OD PC
Active
Other names
Optometric Coverage
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD J JOHNSON OD (PRESIDENT)
(541) 488-1417
Entity
Organization
Contact information
Practice address
635 THORNTON WAY, ASHLAND, OR 97520-4500
(541) 488-1417
Mailing address
PO BOX 759, ASHLAND, OR 97520-0026
(541) 488-1417
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1642ATI
OR
152WC0802X
Corneal and Contact Management Optometrist
1642ATI
OR
152WL0500X
Low Vision Rehabilitation Optometrist
1642ATI
OR
152WP0200X
Pediatric Optometrist
1642ATI
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
031380
—
OR
Enumeration date
08/23/2005
Last updated
02/10/2008
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