Dr. C Stephen Johnson, OD FAAO
Optometrist in San Ramon, CA. Individual provider (NPI-1).
NPI number1902804875
StatusActive
Last updated in NPPESOct 14, 2008
Details
- NPI
- 1902804875
- Entity type
- Individual (NPI-1)
- Name
- Dr. C Stephen Johnson
- Credential
- OD FAAO
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2005
- Last updated
- Oct 14, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | 5287T | CA | Yes |
Practice location
2551 San Ramon Valley BlvSte 101
San Ramon, CA 94583-1661
Phone 925-743-1222 · Fax 925-743-1221
Mailing address
2551 San Ramon Valley BlvSte 101
San Ramon, CA 94583-1661
Phone 925-743-1222 · Fax 925-743-1221
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