Johnson, Norman C

Johnson, Norman C is an individual health care provider with primary practice located at 828 S Broad St , Scottsboro AL 35768-2508. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Johnson, Norman C can be contacted via phone (256) 259-4119.

Contact Information

Primary practice address
828 S Broad St Scottsboro AL 35768-2508
Fax: (256) 259-3643
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X S464TA172 Alabama

Profile Details

NPI number 1134191158
LBN Legal business name Johnson, Norman C
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Nov 15th, 2016 - about 9 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 1134191158 NPPES
Alabama MEDICAID 051513019

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