Johnson, Gavin Lane
Johnson, Gavin Lane is an individual health care provider with primary practice located at 34 S Main St , Brigham City UT 84302-2527. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Gavin Lane can be contacted via phone (435) 723-2485.Contact Information
Primary practice address
34 S Main St
Brigham City UT 84302-2527
Phone: (435) 723-2485
Fax: (435) 723-5840
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 12753476-9934 | Utah |
Profile Details
| NPI number | 1194340745 |
|---|---|
| LBN Legal business name | Johnson, Gavin Lane |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2020 |
| Last updated | Jan 11th, 2024 - about 2 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.
Popular Providers
-
Lewis, David P.
990 South Medical Dr Suite G3, Brigham City UT 84302-3077 -
Lehman, Sandra Jolene
1820 Sidewinder Dr Suite 101, Park City UT 84060-7492 -
Harrison, William L
111 E Forest St Suite E, Brigham City UT 84302-2127 -
Bigler, Richard J.
990 South Medical Drive Suite Gl3, Brigham City UT 84302 -
Brown, Loy D
51 E 400 N #4A, Cedar City UT 84721-6186 -
Olson, Joseph C.
547 S Main St , Brigham City UT 84302-3244 -
Robertson, Jill Lynn
2700 Homestead Rd Ste 30 , Park City UT 84098-4874 -
Briggs, Robert S.
1920 Prospector Ave , Park City UT 84060-7209