Randall Richard Johnson in Davenport - Optometrist
Randall Richard Johnson - NPI 1780640391
Randall Richard Johnson is a Optometrist in Davenport, Iowa. Randall Richard Johnson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Randall Richard Johnson is 1780640391. The last update date is 2007-07-08.
Randall Richard Johnson's current location address is 102 E Kimberly Rd, Davenport, Iowa. You can contact this provider via phone number 5633861950 and fax number 5633861021. The mailing address for Randall Richard Johnson is 102 E Kimberly Rd, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randall Richard Johnson |
|---|---|
| Address | 102 E Kimberly Rd, Davenport, Iowa |
| Phone Number | 5633861950 |
| Fax Number | 5633861021 |
| Sole Proprietor | X |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1780640391 |
|---|---|
| Provider Enumeration Date | 2006-04-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 102 E Kimberly Rd |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 528065922 |
| Phone Number | 5633861950 |
| Fax Number | 5633861021 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2142 |
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Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 37150 | BCBS | ||
| J01642089 | CLARITY VISION |
Post Comment/ Review Below
What is the unique provider identifier assigned to Randall Richard Johnson?
The Randall Richard Johnson has been issued the NPI (National Provider Identifier) 1780640391 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete street address where Randall Richard Johnson is physically located?
The Randall Richard Johnson is physically situated at the following address: 102 E Kimberly Rd, Davenport, IA, 528065922.
What is Randall Richard Johnson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Randall Richard Johnson's specialized field of practice is Optometrist, and the corresponding taxonomy code that categorizes this area of specialization is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1780640391 to Randall Richard Johnson?
The Centers for Medicare & Medicaid Services originally issued the 1780640391 to Randall Richard Johnson on 2006-04-22.
As of what date was the information regarding Randall Richard Johnson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Randall Richard Johnson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.