Johnson, Cynthia

Johnson, Cynthia is an individual health care provider with primary practice located at 11 Shriner St , Vermillion SD 57069-1155. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Johnson, Cynthia can be contacted via phone (605) 624-2020.

Contact Information

Primary practice address
11 Shriner St Vermillion SD 57069-1155
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X SD153 South Dakota

Profile Details

NPI number 1063451276
LBN Legal business name Johnson, Cynthia
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2006
Last updated Feb 13th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063451276 NPPES
South Dakota MEDICAID 9201670

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