Johnson Eye Clinic, P.A

LBN: Johnson Eye Clinic, P.A
Johnson Eye Clinic, P.A is an health care organization with primary practice located at 702 10Th St , Worthington MN 56187-2767. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Johnson Eye Clinic, P.A can be contacted via phone (507) 376-5535, or through Johnson, Wallace S via phone (507) 376-5535.

Contact Information

Primary practice address
702 10Th St Worthington MN 56187-2767
Phone: (507) 376-5535
Fax: (507) 376-4805
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Wallace S Doctor of Optometry (OD)
Phone: (507) 376-5535

Health care specialties

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

Profile Details

NPI number 1184700825
LBN Legal business name Johnson Eye Clinic, P.A
DBA Doing business as
Authorized official Johnson, Wallace S Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 27th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184700825 NPPES
Minnesota Other 4C624JO BLUECROSSBLUESHIELD

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