Brent Daniel Johnson in Blue Earth - Optometrist
Brent Daniel Johnson - NPI 1689667875
Brent Daniel Johnson is a Optometrist in Blue Earth, Minnesota. Brent Daniel Johnson practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Brent Daniel Johnson is 1689667875. The last update date is 2013-02-08.
Brent Daniel Johnson's current location address is Po Box 36, Blue Earth, Minnesota. You can contact this provider via phone number 5075262222 and fax number 5075263927. The mailing address for Brent Daniel Johnson is Po Box 36, Blue Earth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Daniel Johnson |
|---|---|
| Address | Po Box 36, Blue Earth, Minnesota |
| Phone Number | 5075262222 |
| Fax Number | 5075263927 |
| Sole Proprietor | Y |
| Credentials | OD |
NPI Number Detail
| NPI Number | 1689667875 |
|---|---|
| Provider Enumeration Date | 2005-08-24 |
| Last Updated Date | 2013-02-08 |
Provider Mailing Address Detail
| Address | Po Box 36 |
|---|---|
| City | Blue Earth |
| State | Minnesota (MN) |
| Post Code | 560130036 |
| Phone Number | 5075262222 |
| Fax Number | 5075263927 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 2195 |
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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 |
|---|---|---|---|
| 60225600 | MN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brent Daniel Johnson by the Centers for Medicare & Medicaid Services?
The Brent Daniel Johnson has been assigned the NPI (National Provider Identifier) 1689667875. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Brent Daniel Johnson is physically located?
The Brent Daniel Johnson is physically situated at the following address: Po Box 36, Blue Earth, MN, 560130036.
What is Brent Daniel Johnson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brent Daniel Johnson is Optometrist, and the taxonomy code that classifies this field of practice is 152W00000X.
On what date did the Brent Daniel Johnson receive the assignment of its 1689667875 from the Centers for Medicare & Medicaid Services?
The Brent Daniel Johnson was issued its 1689667875 by the Centers for Medicare & Medicaid Services on 2005-08-24.
As of what date were the details related to Brent Daniel Johnson most recently updated or revised?
The information pertaining to Brent Daniel Johnson, including its address, specialty, and other relevant details, was last updated or revised on 2013-02-08.
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