Johnson, Darin Lee

Johnson, Darin Lee is an individual health care provider with primary practice located at 1525 31St Ave Sw Suite E, Minot ND 58701-2016. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Darin Lee can be contacted via phone (701) 857-6050.

Contact Information

Primary practice address
1525 31St Ave Sw Suite E Minot ND 58701-2016
Phone: (701) 857-6050
Fax: (701) 857-6052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 3022 Minnesota
Eye and Vision Services Providers / Optometrist 152W00000X 648 North Dakota

Profile Details

NPI number 1710090485
LBN Legal business name Johnson, Darin Lee
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2006
Last updated Nov 28th, 2011 - about 15 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 1710090485 NPPES
North Dakota Other 712844 MEDICARE PTAN
North Dakota MEDICAID 60447 MEDICARE PTAN

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