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Jaime Johnson

Optometrist in Mission Viejo, CA. Individual provider (NPI-1).

NPI number1679908032
StatusActive
Last updated in NPPESJan 23, 2024

Details

NPI
1679908032
Entity type
Individual (NPI-1)
Name
Jaime Johnson
Sex
Female
Sole proprietor
No
Enumeration date
Sep 4, 2013
Certification date
Jan 23, 2024
Last updated
Jan 23, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
152W00000X Optometrist14763CAYes
152W00000X Optometrist14763TLGCA

Practice location

30 The Shops At Mission Viejo
Mission Viejo, CA 92691-6527

Phone 949-364-4004

Mailing address

30 The Shops At Mission Viejo
Mission Viejo, CA 92691-6527

Phone 949-364-4004

Other practice locations

24155 Laguna Hills Mall
Suite 900
Laguna Hills, CA 92653-3667

Phone 949-458-1613

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