Kimberly Johnson Od Llc in Gothenburg - Optometrist

Kimberly Johnson Od Llc - NPI 1245258292

Kimberly Johnson Od Llc is a Optometrist in Gothenburg, Nebraska. Kimberly Johnson Od Llc practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Kimberly Johnson Od Llc is 1245258292. The last update date is 2013-06-08.

Kimberly Johnson Od Llc's current location address is 902 Avenue D, Gothenburg, Nebraska. You can contact this provider via phone number 3085372020. The mailing address for Kimberly Johnson Od Llc is 902 Avenue D, Gothenburg, Nebraska. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kimberly Johnson Od Llc
Address 902 Avenue D, Gothenburg, Nebraska
Phone Number 3085372020
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position MEMBER
Authorized Official Name Johnson Kimberly
Credentials O.D.
Telephone Number 3085372020

NPI Number Detail

NPI Number 1245258292
Provider Enumeration Date 2006-07-18
Last Updated Date 2013-06-08

Provider Mailing Address Detail

Address 902 Avenue D
City Gothenburg
State Nebraska (NE)
Post Code 691381900
Phone Number 3085372020
Fax Number

Provider's Primary Taxonomy Detail

Speciality Optometrist
Taxonomy 152W00000X
Licence No 1232
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
99868 NE MEDICARE GROUP PROVIDER NUMBER
10025277400 NE --

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FAQs about Kimberly Johnson Od Llc

What is the unique identifier code issued to Kimberly Johnson Od Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Kimberly Johnson Od Llc has been assigned the NPI (National Provider Identifier) 1245258292. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you share the physical location details of Kimberly Johnson Od Llc?

The Kimberly Johnson Od Llc is situated at 902 Avenue D, in the city of Gothenburg, state of NE, with the zip code 691381900.

What is Kimberly Johnson Od Llc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Kimberly Johnson Od Llc is Optometrist, and the taxonomy code that categorizes this field of expertise is 152W00000X.

On what date did Kimberly Johnson Od Llc receive its 1245258292 assignment from the Centers for Medicare & Medicaid Services?

The Kimberly Johnson Od Llc was assigned its 1245258292 on 2006-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Kimberly Johnson Od Llc last refreshed?

The information related to the Kimberly Johnson Od Llc, including its address, specialty, and other relevant details, was last updated on 2013-06-08.

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