Rsjohnson Od PLLC
Optometrist in Chubbuck, ID. Organization (NPI-2).
NPI number1760052401
StatusActive
Last updated in NPPESJun 25, 2021
Details
- NPI
- 1760052401
- Entity type
- Organization (NPI-2)
- Legal business name
- Rsjohnson Od PLLC
- Organization subpart
- No
- Enumeration date
- Jun 25, 2021
- Certification date
- Jun 24, 2021
- Last updated
- Jun 25, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
4240 Yellowstone AveChubbuck, ID 83202-2420
Phone 208-241-9145
Mailing address
12482 Dallin RdPocatello, ID 83202-5073
Phone 208-241-9145 · Fax 208-238-2069
Authorized official
Ryan S Johnson
Owner
2082419145
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Other Optometrist providers in Chubbuck, ID
- Michael L. Baird, O.D.NPI 1457524555
- Baird Optical PCNPI 1013206275
- Dr Wendell R Fackrell PLLCNPI 1801171293
- Ryan Scott Johnson, O.D.NPI 1184653404
All 5 Optometrist providers in Chubbuck · All 390 providers in Chubbuck
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