Johnson, Thomas Nelson

Johnson, Thomas Nelson is an individual health care provider with primary practice located at 2824 W Division St , Saint Cloud MN 56301-3800. He recently has only one registered license in Eye and Vision Services Providers / Corneal and Contact Management, which is considered as his primary health care specialty. Johnson, Thomas Nelson can be contacted via phone (320) 253-2020.

Contact Information

Primary practice address
2824 W Division St Saint Cloud MN 56301-3800
Phone: (320) 253-2020
Fax: (320) 251-6885
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Corneal and Contact Management 152WC0802X LD22510000 Minnesota

Profile Details

NPI number 1831290550
LBN Legal business name Johnson, Thomas Nelson
Credentials OPTOMETRIST
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2006
Last updated Oct 29th, 2008 - about 17 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 1831290550 NPPES
Minnesota Other 22-255-2298 AETNA (TAX ID)
Minnesota Other 3C169JO AETNA (TAX ID)
Minnesota Other 22-02504 AETNA (TAX ID)
Minnesota Other 22-255-2298 AETNA (TAX ID)
Minnesota Other P00303198 /GP DE6004 AETNA (TAX ID)
Minnesota Other SPECTARA AETNA (TAX ID)
Minnesota Other 20-2552298 AETNA (TAX ID)
Minnesota Other 539263 AETNA (TAX ID)
Minnesota Other 21-00495 AETNA (TAX ID)
Minnesota Other 22-255-2298 AETNA (TAX ID)
Minnesota Other 48457 AETNA (TAX ID)
Minnesota Other 85742JO AETNA (TAX ID)
Minnesota MEDICAID 428318000 AETNA (TAX ID)

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