Johnson, Ryan
Johnson, Ryan is an individual health care provider with primary practice located at 7960 W Rifleman St Suite 150, Boise ID 83704-9064. He recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Vision Therapy. Eye and Vision Services Providers / Vision Therapy is his primary health care specialty. Johnson, Ryan can be contacted via phone (208) 377-8899.Contact Information
Primary practice address
7960 W Rifleman St Suite 150
Boise ID 83704-9064
Phone: (208) 377-8899
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 14467 | California |
| Eye and Vision Services Providers / Vision Therapy | 152WV0400X | ODP-100269 | Idaho |
Profile Details
| NPI number | 1366706525 |
|---|---|
| LBN Legal business name | Johnson, Ryan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2012 |
| Last updated | Jul 23rd, 2015 - about 10 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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